Abstract
In the past, patients requiring permanent pacing with difficult right ventricular (RV) access were usually subjected to epicardial pacing by a surgical approach. This report describes a young patient with univentricular physiology following repeated palliative surgery for complex congenital heart disease. The patient had symptomatic complete heart block and a dual chamber pacemaker with transvenous atrial and ventricular leads was implanted successfully. The ventricle was paced through the posterolateral cardiac vein with a lead specially designed for cardiac resynchronization therapy. This case illustrates an extended application of the recently developed coronary sinus lead in selected patients, when conventional RV endocardial pacing is impossible.
| Original language | American English |
|---|---|
| Pages (from-to) | 147-150 |
| Journal | Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology |
| Volume | 8 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2006 |
Keywords
- Adolescent
- Cardiac Pacing, Artificial
- Coronary Vessels/physiopathology
- Female
- Heart Block/etiology
- Heart Block/physiopathology
- Heart Block/therapy
- Heart Defects, Congenital/complications
- Heart Defects, Congenital/physiopathology
- Humans
- Pacemaker, Artificial
- Prosthesis Implantation/methods
- Sinoatrial Node/physiopathology