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

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DOI: 10.4236/wjcd.2014.412068    3,433 Downloads   3,783 Views   Citations

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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Conti, S. , Liotta, C. , Virgilio, A. , Tamburino, C. and Calvi, V. (2014) Left Ventricular Pacing in a Patient with a Mechanical Tricuspid Prosthesis and High Surgical Risk. World Journal of Cardiovascular Diseases, 4, 567-569. doi: 10.4236/wjcd.2014.412068.

References

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