Calcific aortic valvular disease associated with complete heart block. Case reports of successful correction.

T hree patients with calcific aortic valvular disease associated with complete heart block underwent total aortic valvular replacement at Deborah Hospital. One patient had concomitant epicardial implantation of a “synchronous” ( atrial triggered) pacemaker, and two patients had pacemakers implanted prior to aortic valve surgery. Although these patients had practically identical lesions, their surgical management differed. The purpose of this communication is to describe aortic valve replacement in the presence of complete heart block, in one instance, and in the presence of functioning pacemakers in two.