PMID: 9170123May 1, 1997Paper

Permanent pacing in Ebstein's anomaly

Pacing and Clinical Electrophysiology : PACE
M R AllenG K Danielson

Abstract

Patients with Ebstein's anomaly present unique challenges to permanent pacing due to anatomical variations and tricuspid valve replacement. We retrospectively reviewed our experience with permanent pacing in patients with Ebstein's anomaly between 1976 and 1993. We identified 401 patients with Ebstein's anomaly, of whom 15 (3.7%) required permanent pacing (1 of the 15 was implanted elsewhere). Of the 15, there were 8 females and 7 males (mean age 32 years [range 7-74]); the indications for pacing were AV block in 11 and sinus node dysfunction in 4. Eight patients were programmed with VVI and seven with DDD. All VVI patients were paced epicardially. Two patients with DDD pacemakers had transvenous atrial and ventricular leads, 4 DDD patients had transvenous atrial leads and epicardial ventricular leads, and 1 patient had both epicardial and transvenous systems. Associated surgical procedures included tricuspid valve replacement in 14 of 15, atrial septal defect repair in 10 of 15, atrioplasty in 7 of 15, prior tricuspid annuloplasty in 4 of 15, pulmonary vein dilation in 1 of 15, and conduction system ablation in 2 of 15. Patients had a mean follow-up of 35 months (range 1-168 months). Complications requiring operative intervent...Continue Reading

References

Apr 1, 1989·Pacing and Clinical Electrophysiology : PACE·D L HayesG Eisinger
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Citations

Jun 22, 2010·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Christopher John McLeodNaser M Ammash
Jul 1, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroki ManiMasao Nakagawa
Jun 22, 2014·Current Cardiology Reports·H Sawyer GillespieJordan M Prutkin
Jun 30, 2010·Expert Review of Medical Devices·Christopher J McLeodNaser M Ammash
Jul 22, 2016·Current Treatment Options in Cardiovascular Medicine·Lucy M SafiAmi Bhatt
Jan 10, 2018·European Heart Journal·Christine H Attenhofer JostChristopher J McLeod
Jan 18, 2007·Circulation·Christine H Attenhofer JostGordon K Danielson
Sep 24, 2019·Congenital Heart Disease·Nicholas Y TanChristopher J McLeod
Feb 20, 2021·JACC. Clinical Electrophysiology·Neil PatelPugazhendhi Vijayaraman
Jun 26, 2003·Archives of Pathology & Laboratory Medicine·James B Weitzman

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