Open AccessVentricular Pacing via the Coronary Sinus in a Patient with a Mechanical Tricuspid Valve Prosthesis
Author(s) -
Swampillai Janice,
Heald Spencer C.,
Devlin Gerard P.,
Stiles Martin K.
Publication year - 2011
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/s1880-4276(11)80037-2
Subject(s) - medicine , coronary sinus , cardiology , ventricle , ventricular pacing , tricuspid valve , mechanical valve , prosthesis , lead (geology) , surgery , heart failure , geomorphology , geology
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.