Left Ventricular Pacing in a Patient with a Mechanical Tricuspid Prosthesis and High Surgical Risk ()
Sergio Conti*,
Claudio Liotta,
Alfredo Virgilio,
Corrado Tamburino,
Valeria Calvi
Cardiology Department, Ferrarotto Hospital, University of Catania, Catania, Italy.
DOI: 10.4236/wjcd.2014.412068
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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.
Share and Cite:
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.
Conflicts of Interest
The authors declare no conflicts of interest.
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