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Successful Use of a Transvenous Dual‐Chamber Automatic Implantable Cardiac Defibrillator After a Classic Fontan Operation for Tricuspid Atresia
Author(s) -
LOPEZ J. ALBERTO,
MIHALICK MICHAEL
Publication year - 2006
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.1540-8159.2006.00563.x
Subject(s) - medicine , tricuspid atresia , cardiology , tricuspid valve , fontan procedure , pulmonary atresia , heart disease
We report the first successful totally percutaneous pacing and defibrillation of a single ventricle in a 52‐year‐old woman who had undergone a classic Fontan operation (atriopulmonary connection) for tricuspid atresia 21 years earlier. Left ventricular pacing and sensing was obtained with a bipolar lead in the lateral cardiac vein, and defibrillation was obtained with a coronary sinus coil lead and an “active can” in the retromammary position to optimize the current vector. This approach has significant potential benefits because it avoids a repeat thoracotomy, with its associated mortality and morbidity.