Permanent pacing using a coronary sinus lead in a patient with univentricular physiology: an extended application of biventricular pacing technology

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
Ming-Jer HsiehChun-Chieh Wang

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.

References

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Jan 3, 2003·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Cengiz ErmisDavid G Benditt

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Citations

Nov 12, 2013·Indian Heart Journal·Maniyal VijayakumarPraveen G Pai
Sep 4, 2007·International Journal of Cardiology·Heidi Luise EstnerGabriele Hessling

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