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Para‐Hisian Pacing for a Pediatric Patient with a Congenitally Corrected Transposition of the Great Arteries (SLL)
Author(s) -
TAKEMOTO MASAO,
NAKASHIMA ATSUHIRO,
MUNEUCHI JUN,
YAMAMURA KENICHIRO,
SHIOKAWA YUICHI,
SUNAGAWA KENJI,
TOMINAGA RYUJI
Publication year - 2010
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.1540-8159.2009.02559.x
Subject(s) - medicine , great arteries , cardiology , transposition (logic) , atrioventricular block , corrected transposition , heart disease , linguistics , philosophy
We report a pediatric patient with a congenitally corrected transposition of the great arteries (ccTGA)(SLL) in which permanent para‐Hisian pacing (PPHP) could improve dyssynchrony‐associated systemic ventricular (SV) dysfunction resulting from permanent morphologic left ventricular pacing for complete atrioventricular block. Since, in patients with ccTGA(SLL), an elongated His‐bundle runs medially toward the upper septum to the site of the fibrous continuity between the right‐sided mitral valve and pulmonary artery, the His‐bundle may easily be captured by a pacing lead, unlike in normal hearts. Thus, PPHP may be an effective therapeutic strategy for the treatment of dyssynchrony‐associated SV dysfunction associated with ccTGA (SLL). (PACE 2010; e4–e7)