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:
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