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Transvenous Atrial Pacing in the Management of Sick Sinus Syndrome Following Surgical Treatment of the Univentricular Heart: Case Report and Review
Author(s) -
VINCE DENNIS J.,
TYERS G. FRANK O.,
KERR CHARLES R.
Publication year - 1986
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 - 10.1111/j.1540-8159.1986.tb04500.x
Subject(s) - medicine , sick sinus syndrome , transvenous pacing , cardiology , bradycardia , sinus (botany) , fontan procedure , surgery , sinus bradycardia , heart disease , heart rate , blood pressure , botany , biology , genus
An 11‐year‐old boy with univentricular heart type A‐III underwent surgical treatment at age 10 with a modified Fontan operation. Six months postoperatively he developed intermittent periods of cyanosis and fatigue associated with profound sinus bradycardia and nodal escape. After demonstrating normal atrioventricular conduction, a transvenous atrial pacemaker was implanted. This produced a marked clinical improvement. Transvenous atrial pacing is a satisfactory method of treating sinus node dysfunction in patients with univentricular heart following the Fontan operation provided that there is normal AV conduction.