Sinus node dysfunction with interatrial conduction delay observed after left atrial myxoma resection through the superior septal approach

Autor: Katsuhito Fujiu, Yasunobu Hirata, Susumu Miyazaki, Takahide Murasawa, Ryozo Nagai, Jun Yokota, Keigo Iwazaki, Yasushi Imai, Hiroaki Sugiyama, Takeki Suzuki, Kazuo Asada, Hiroshi Yamashita, Hisayoshi Tamai, Toshiya Kojima
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Journal of Arrhythmia, Vol 28, Iss 5, Pp 300-304 (2012)
ISSN: 1880-4276
Popis: We report on a 64-year-old female patient who underwent cardiac surgery for left atrial myxoma, using the superior septal approach with large atrial septal wall resection and patch closure. The superior septal approach is reported to be a relatively safe method for preventing the development of sinus node dysfunction after cardiac surgery. However, this patient developed sinus node dysfunction after surgery and required the implantation of a permanent pacemaker. Moreover, in this case, determining the appropriate positions of the pacemaker leads was difficult because of the presence of a large conduction delay in the interatrium. Selecting the appropriate atrioventricular delay settings was important in order to achieve proper sequential contractions between the left atrium and the left ventricle.
Databáze: OpenAIRE