Ventricular Pacing via the Coronary Sinus in a Patient with a Mechanical Tricuspid Valve Prosthesis

被引：0
|
作者：
Swampillai, Janice [1 ]
Heald, Spencer C. [1 ]
Devlin, Gerard P. [1 ,2 ]
Stiles, Martin K. [1 ,2 ]
机构：
[1] Waikato Hosp, Dept Cardiol, Pembroke St,Private Bag 3200, Hamilton 3240, New Zealand
[2] Univ Auckland, Fac Med & Hlth Sci, Auckland, New Zealand
来源：
JOURNAL OF ARRHYTHMIA | 2011年 / 27卷 / 04期
关键词：
Cardiac device implantation; Valvular heart disease; Left ventricular lead;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Implantation of a transvenous endocardial pacing lead in the right ventricle is contraindicated after mechanical tricuspid valve replacement; therefore a surgical approach to the epicardium is usually required. This case report describes ventricular pacing via a branch of the coronary sinus in a patient with mechanical mitral, aortic and tricuspid valve replacements. In conclusion, this approach is minimally invasive, provides effective ventricular stimulation with low pacing threshold and stable lead position, and is a feasible option when transvenous right ventricular pacing is not possible.
引用
收藏
页码：343 / 346
页数：4
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