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Successful Long‐Term Ventricular Pacing Via the Coronary Sinus After the Fontan Operation
Author(s) -
ROSENTHAL ERIC,
QURESHI SHAKEEL A.,
CRICK JONATHAN C. PITTS
Publication year - 1995
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.1540-8159.1995.tb03874.x
Subject(s) - medicine , coronary sinus , cardiology , fontan procedure , ventricle , thoracotomy , atrial flutter , atrioventricular block , percutaneous , heart block , ventricular pacing , surgery , heart failure , electrocardiography , atrial fibrillation
A man with double inlet left ventricle and severe subpulmonary stenosis underwent a Fontan operation at the age of 29 years. Eight years later he developed atrial flutter with complete heart block. To avoid a further thoracotomy, a unipolar carbon tipped electrode was placed into the posterior cardiac vein via the coronary sinus. More than 8 years after implantation of the original lead, and after two generator changes, telemetric thresholds remain between 1.8–2.1 volts. Percutaneous transvenous ventricular pacing via the coronary sinus can produce an excellent long‐term result and should be the initial approach of choice after a Fontan‐type operation.