An effective and safe alternative to epicardial pacemaker placement for permanent pacemaker implantation in a patient with mechanical tricuspid valve: stimulation of the left ventricle through the coronary sinus
Autor: | Ali Riza Erbay, Nihat Sen, Ahmet Duran Demir, Ramazan Atak |
---|---|
Rok vydání: | 2011 |
Předmět: |
Pacemaker
Artificial medicine.medical_specialty Diagnosis Differential Electrocardiography Internal medicine Atrial Fibrillation medicine Humans Pacemaker Placement cardiovascular diseases Coronary sinus Tricuspid valve Cardiac Vein business.industry Cardiovascular Surgical Procedures Middle Aged Cardiac surgery Ventricular pacemaker medicine.anatomical_structure Ventricle Heart Valve Prosthesis cardiovascular system Cardiology Female Tricuspid Valve Permanent pacemaker Cardiology and Cardiovascular Medicine business |
Zdroj: | Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology. 39:244-247 |
ISSN: | 1308-4488 1016-5169 |
DOI: | 10.5543/tkda.2011.01322 |
Popis: | Implantation of a transvenous endocardial pacemaker is contraindicated in patients with a mechanical tricuspid valve. An epicardial left ventricular pacemaker lead was placed by a transvenous route through the coronary sinus into the lateral cardiac vein in a 58-year-old woman with mechanical aortic, mitral, and tricuspid valves, for permanent pacing due to chronic atrial fibrillation with a slow ventricular rate accompanied by syncope. This lead was then connected to a single-chamber pacemaker. The patient had no problem in the following three months. Placement of an epicardial pacing lead through the coronary sinus provides a safe and effective pacing in patients with a mechanical tricuspid valve, thus obviating major cardiac surgery. |
Databáze: | OpenAIRE |
Externí odkaz: |