Premium
Pacing in the Middle Cardiac Vein in a Patient with Tricuspid Prosthesis
Author(s) -
NGUYEN LUC S.,
SWAROOP SATINDER,
PREJEAN CURTIS A.
Publication year - 2002
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2002.00243.x
Subject(s) - medicine , cardiology , ventricle , prosthesis , tricuspid valve , cardiac pacing , cephalic vein , vein , endocarditis , lead (geology) , heart block , surgery , electrocardiography , geomorphology , geology
NGUYEN, L.S., et al. : Pacing in the Middle Cardiac Vein in a Patient with Tricuspid Prosthesis. A man with acute endocarditis developed complete heart block several days after the tricuspid and aortic valve replacement. Several weeks after implantation, his epimyocardial pacing leads developed a high threshold and failed to capture the ventricle at the maximal pulse width and output of the pacemaker. An angled‐tip lead was placed in the middle cardiac vein for ventricular pacing. The pacing and sensing thresholds of this lead were within the expected range during follow‐up. Therefore, in patients with prosthetic tricuspid valve, pacing in the middle cardiac vein should be considered before open‐chest placement of the epimyocardial lead.