{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:00:12Z","timestamp":1780581612224,"version":"3.54.1"},"reference-count":8,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,9,3]],"date-time":"2022-09-03T00:00:00Z","timestamp":1662163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Natural Science Foundation of China","award":["81970273"],"award-info":[{"award-number":["81970273"]}]},{"name":"National Natural Science Foundation of China","award":["SHDC2020CR4009"],"award-info":[{"award-number":["SHDC2020CR4009"]}]},{"name":"National Natural Science Foundation of China","award":["SHDC2020CR6012"],"award-info":[{"award-number":["SHDC2020CR6012"]}]},{"name":"National Natural Science Foundation of China","award":["21PJD057"],"award-info":[{"award-number":["21PJD057"]}]},{"name":"Clinical Research Plan of Shenkang Hospital Development Center of Shanghai","award":["81970273"],"award-info":[{"award-number":["81970273"]}]},{"name":"Clinical Research Plan of Shenkang Hospital Development Center of Shanghai","award":["SHDC2020CR4009"],"award-info":[{"award-number":["SHDC2020CR4009"]}]},{"name":"Clinical Research Plan of Shenkang Hospital Development Center of Shanghai","award":["SHDC2020CR6012"],"award-info":[{"award-number":["SHDC2020CR6012"]}]},{"name":"Clinical Research Plan of Shenkang Hospital Development Center of Shanghai","award":["21PJD057"],"award-info":[{"award-number":["21PJD057"]}]},{"name":"Shanghai Pujiang Program","award":["81970273"],"award-info":[{"award-number":["81970273"]}]},{"name":"Shanghai Pujiang Program","award":["SHDC2020CR4009"],"award-info":[{"award-number":["SHDC2020CR4009"]}]},{"name":"Shanghai Pujiang Program","award":["SHDC2020CR6012"],"award-info":[{"award-number":["SHDC2020CR6012"]}]},{"name":"Shanghai Pujiang Program","award":["21PJD057"],"award-info":[{"award-number":["21PJD057"]}]},{"name":"Clinical Research Plan of Shanghai","award":["81970273"],"award-info":[{"award-number":["81970273"]}]},{"name":"Clinical Research Plan of Shanghai","award":["SHDC2020CR4009"],"award-info":[{"award-number":["SHDC2020CR4009"]}]},{"name":"Clinical Research Plan of Shanghai","award":["SHDC2020CR6012"],"award-info":[{"award-number":["SHDC2020CR6012"]}]},{"name":"Clinical Research Plan of Shanghai","award":["21PJD057"],"award-info":[{"award-number":["21PJD057"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>A 61-year-old female was referred for catheter ablation of symptomatic and frequent premature ventricular complexes presented with right bundle branch block and a prominent inferior frontal plane QRS axis. A retrograde transaortic approach was routinely performed. A sustained complete atrioventricular block was repeatedly encountered while the ablation catheter was attempting to cross the aortic valve with different curves and manipulations. The procedure was abandoned. The mechanical atrioventricular block could only have been caused by the retrograde transaortic approach. We should be cautious when performing a retrograde transaortic catheter manipulation in some patients.<\/jats:p>","DOI":"10.3390\/jcdd9090293","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T20:52:51Z","timestamp":1662497571000},"page":"293","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Complete Atrioventricular Block Caused by Retrograde Transaortic Approach"],"prefix":"10.3390","volume":"9","author":[{"given":"Songwen","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofeng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qitong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genqing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaowen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e008173","DOI":"10.1161\/CIRCEP.119.008173","article-title":"Ablation at Right Coronary Cusp as an Alternative and Favorable Approach to Eliminate Premature Ventricular Complexes Originating From the Proximal Left Anterior Fascicle","volume":"13","author":"Chen","year":"2020","journal-title":"Circ. Arrhythmia Electrophysiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2327","DOI":"10.1253\/circj.CJ-19-0315","article-title":"Ablation From the Right Coronary Cusp Eliminated Premature Ventricular Contractions Originating From the Proximal Left Anterior Fascicle","volume":"83","author":"Chen","year":"2019","journal-title":"Circ. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2629","DOI":"10.1111\/jce.14163","article-title":"Retrograde aortic access during ventricular tachycardia ablation: Indications, techniques, and challenges","volume":"30","author":"Adlan","year":"2019","journal-title":"J. Cardiovasc. Electrophysiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.ijcard.2018.06.038","article-title":"Transseptal or retrograde approach for transcatheter ablation of left sided accessory pathways: A systematic review and meta-analysis","volume":"272","author":"Anselmino","year":"2018","journal-title":"Int. J. Cardiol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.jelectrocard.2017.03.004","article-title":"The normal variants in the left bundle branch system","volume":"50","author":"Elizari","year":"2017","journal-title":"J. Electrocardiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1161\/01.CIR.53.4.609","article-title":"Anatomical configuration of the His bundle and bundle branches in the human heart","volume":"53","author":"Massing","year":"1976","journal-title":"Circulation"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e12836","DOI":"10.1111\/anec.12836","article-title":"Alternating and gradually changing narrow QRS complex tachycardia in a patient with heart failure: What is the mechanism?","volume":"26","author":"Chen","year":"2021","journal-title":"Ann. Noninvasive Electrocardiol."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Chen, S., Wei, Y., Zhou, G., Lu, X., and Liu, S. (2022). To the Editor\u2014The characteristics and potential origin of the proximal left anterior fascicle premature ventricular complexes. Heart Rhythm.","DOI":"10.1016\/j.hrthm.2022.05.040"}],"container-title":["Journal of Cardiovascular Development and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3425\/9\/9\/293\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:22:55Z","timestamp":1760142175000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3425\/9\/9\/293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,3]]},"references-count":8,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["jcdd9090293"],"URL":"https:\/\/doi.org\/10.3390\/jcdd9090293","relation":{},"ISSN":["2308-3425"],"issn-type":[{"value":"2308-3425","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,3]]}}}