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 |
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Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
medicine.medical_specialty
Pacemaker implantation lcsh:Diseases of the circulatory (Cardiovascular) system business.industry Left atrium Interatrial Conduction Delay Surgery Cardiac surgery Resection medicine.anatomical_structure Ventricle lcsh:RC666-701 Internal medicine medicine Cardiology cardiovascular system cardiovascular diseases Permanent pacemaker Left Atrial Myxoma Cardiology and Cardiovascular Medicine business Sinus (anatomy) |
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 |
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