Single site pacing through the anterior interventricular vein in a patient with a mechanic tricuspid valve

Autor: Matteo Anselmino, Maria Cristina Marocco, Marcella Jorfida, Riccardo Massa
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 9, Iss 3, Pp 177-179 (2009)
Druh dokumentu: article
ISSN: 0972-6292
Popis: Transvenous endocardial pacing through classical implantation of a pace/sensing lead in the right ventricle is strictly contraindicated in patients with a mechanical tricuspid valve. Usually permanent pacing is achieved by an epimyocardial surgical approach. We hereby describe the implantation of a single site left ventricle pacing lead in the anterior interventricular vein in a 60 year-old woman with symptomatic bradycardia, permanent atrial fibrillation, and mechanical tricuspid valve. The described use of left ventricle pacing through a coronary vein lead, in a patient with favorable venous anatomy, provided (through a minimal invasive approach) effective with a low and stable threshold.
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