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 Mekanik triküspit protez kapaǧi olan bir hastada kalici kalp pili yerleştirilmesinde epikardiyal yaklaşimin güvenli ve etkili seçeneǧi: Koroner sinüs yoluyla sol ventrikülün uyarilmasi

DEMİR A. D., Şen N., Erbay A. R., Atak R.

Turk Kardiyoloji Dernegi Arsivi, vol.39, no.3, pp.244-247, 2011 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 3
  • Publication Date: 2011
  • Doi Number: 10.5543/tkda.2011.01322
  • Journal Name: Turk Kardiyoloji Dernegi Arsivi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.244-247
  • Keywords: Cardiac pacing, artificial/methods, Coronary sinus, Electrodes, implanted, Tricuspid valve/surgery
  • Hatay Mustafa Kemal University Affiliated: No

Abstract

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. © 2011 Türk Kardiyoloji Derneǧi.