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Ventricular Pacing via the Coronary Sinus in a Patient with a Mechanical Tricuspid Valve Prosthesis

Authors
Publisher
Elsevier B.V.
Volume
27
Issue
4
Identifiers
DOI: 10.1016/s1880-4276(11)80037-2
Keywords
  • Cardiac Device Implantation
  • Valvular Heart Disease
  • Left Ventricular Lead

Abstract

Implantation of a transvenous endocardial pacing lead in the right ventricle is contra-indicated after mechanical tricuspid valve replacement; therefore a surgical approach to the epicardium is usually required. This case report describes ventricular pacing via a branch of the coronary sinus in a patient with mechanical mitral, aortic and tricuspid valve replacements. In conclusion, this approach is minimally invasive, provides effective ventricular stimulation with low pacing threshold and stable lead position, and is a feasible option when transvenous right ventricular pacing is not possible.

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