Calcareous or fibrocalcareous lesions of the bundle of His are identified as a histopathologic cause of complete heart block.
Answers are grounded in this paper and cite their sources.
Suggests calcific His bundle lesions in select AV block cases; leaves open their prevalence in contemporary cohorts.
Article1 January 1935HEART BLOCK DUE TO CALCAREOUS LESIONS OF THE BUNDLE OF HISREVIEW AND REPORT OF A CASE WITH DETAILED HISTOPATHOLOGIC STUDY*WALLACE M. YATER, M.D., F.A.C.P., VIRGIL H. CORNELL, MAJ., M.C., U.S.A., F.A.C.P.WALLACE M. YATER, M.D., F.A.C.P., VIRGIL H. CORNELL, MAJ., M.C., U.S.A., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-8-7-777 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptConsidering the fact that only 47 cases of established complete heart block reported in the literature have been sufficiently thoroughly studied to be acceptable as conclusive, we believe that further careful studies of this subject are important. These 47 cases have been tabulated by Yater, Cor nell and Claytor.1In nine cases the auriculoventricular dissociation was due to calcareous or fibrocalcareous lesions of the bundle of His. Together with fibrosis of the bundle or bundle and branches, fibrosis of the two bundle branches without lesions of the main bundle, and gummatous invasion of the bundle, this type of lesions constituted...Bibliography1. YATERCORNELLCLAYTOR WMVHTA: Auriculoventricular heart block due to bilateral bundle branch lesions: review and report of three cases with detailed histopathologic study, Arch. Int. Med. (In press.) Google Scholar2. YATERWILLIUS WMFA: Heart-block showing multiple transitions associated with convulsive syncope: report of a case with detailed histopathological study, Am. Heart Jr., 1929, iv, 280-295. CrossrefGoogle Scholar3. BÖNNINGER : Zwei Fälle von Herzblock (Case II), Deutsch, med. Wchnschr., 1908, xxxiv, 2293. Google Scholar4. MÖNCKEBERG JG: Untersuchungen über des Atrioventrikularbündel im menschlichen Herzen, 1908, Fischer, Jena. (Heart, cxiii, 232.) Google Scholar5. 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Wallace M. Yater (1935) studied this question.
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