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Biventricular Device Implantation in a Patient with Congenitally Corrected Transposition and Left‐Sided Superior Vena Cava
Author(s) -
ROGERS DOMINIC P.S.,
WALKER FIONA,
CHOW ANTHONY W.C.,
LAMBIASE PIER D.
Publication year - 2008
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.1540-8159.2008.01021.x
Subject(s) - medicine , persistent left superior vena cava , great arteries , coronary sinus , transposition (logic) , cardiology , heart disease , pulmonary atresia , hypoplastic left heart syndrome , surgery , transposition of the great vessels , linguistics , philosophy
An increasing number of patients with congenital heart disease are surviving into adulthood and some have indications for device therapy. Complex anatomical abnormalities may hinder the operator and require the adaptation of standard implantation techniques. We present the first report of successful biventricular ICD implantation in a patient with mesocardia, congenitally corrected transposition of the great arteries, pulmonary atresia, and a left superior vena cava draining into the coronary sinus. This case posed challenges in lead placement due to both complex anatomy and the risk of inappropriate device therapies secondary to far‐field oversensing .