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Left Ventricular Pacing in a Patient with a Mechanical Tricuspid Prosthesis and High Surgical Risk
Journal article   Open access

Left Ventricular Pacing in a Patient with a Mechanical Tricuspid Prosthesis and High Surgical Risk

Sergio Conti, Claudio Liotta, Alfredo Virgilio, Corrado Tamburino and Valeria Calvi
World Journal of Cardiovascular Diseases, Vol.4(12), pp.567-569
2014
DOI: 10.4236/wjcd.2014.412068
url
https://doi.org/10.4236/wjcd.2014.412068View
Published (Version of record) Open Access

Abstract

Transvenous endocardial pacemaker (PM) implantation is contraindicated in patients with a mechanical tricuspid prosthesis. These patients usually undergo epicardial lead implantation. This case shows the implant of left ventricular (LV) pacing lead through the coronary sinus (CS) in a patient with high surgical risk. A 77-year-old woman with slow atrial fibrillation, left anterior hemi-block and right bundle brunch block, who previously underwent surgical replacement of the mitral and tricuspid valves, was admitted for PM implantation. After 1 month, all the electric parameters were stable. To the best of our knowledge, this is the first Italian case reported of LV pacing in a patient with a mechanical tricuspid prosthesis. The use of LV pacing leads implanted through the CS provides a minimal invasive, safe and effective strategy of pacing in patients with a mechanical tricuspid prosthesis.
Pacemaker Tricuspid Valve Prosthesis

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