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Single site pacing through the anterior interventricular vein in a patient with a mechanic tricuspid valve.

Anselmino M, Marocco MC, Jorfida M, Massa R - Indian Pacing Electrophysiol J (2009)

Bottom Line: Transvenous endocardial pacing through classical implantation of a pace/sensing lead in the right ventricle is strictly contraindicated in patients with a mechanical tricuspid valve.Usually permanent pacing is achieved by an epimyocardial surgical approach.The described use of left ventricle pacing through a coronary vein lead, in a patient with favorable venous anatomy, provided (through a minimal invasive approach) effective with a low and stable threshold.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Unit, Department of Medicine, University of Turin, Italy. matt.ans@alice.it

ABSTRACT
Transvenous endocardial pacing through classical implantation of a pace/sensing lead in the right ventricle is strictly contraindicated in patients with a mechanical tricuspid valve. Usually permanent pacing is achieved by an epimyocardial surgical approach. We hereby describe the implantation of a single site left ventricle pacing lead in the anterior interventricular vein in a 60 year-old woman with symptomatic bradycardia, permanent atrial fibrillation, and mechanical tricuspid valve. The described use of left ventricle pacing through a coronary vein lead, in a patient with favorable venous anatomy, provided (through a minimal invasive approach) effective with a low and stable threshold.

No MeSH data available.


Related in: MedlinePlus

A (left side) - A 60 degree left anterior view showing coronary sinus venogram (coronary sinus, CS, posterolateral branch, PL, and anterior interventricular vein or great cardiac vein, GCV) and tricuspid valve, TV. B (right side) - An antero-posterior view showing distal course of the transvenous left ventricular, LV, pacing lead in the distal GCV; TV, mitral, MV, and aortic, AV, valves.
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Figure 1: A (left side) - A 60 degree left anterior view showing coronary sinus venogram (coronary sinus, CS, posterolateral branch, PL, and anterior interventricular vein or great cardiac vein, GCV) and tricuspid valve, TV. B (right side) - An antero-posterior view showing distal course of the transvenous left ventricular, LV, pacing lead in the distal GCV; TV, mitral, MV, and aortic, AV, valves.

Mentions: A guiding catheter was introduced and placed into the ostium of the coronary sinus via the left subclavian vein. Venography of the coronary veins was performed to establish detailed anatomy (Figure 1A). A bipolar endocardial pacing lead (Pacesetter Quicksite 1056T, St. Jude) was implanted in the anterior interventricular vein (Figure 1B).


Single site pacing through the anterior interventricular vein in a patient with a mechanic tricuspid valve.

Anselmino M, Marocco MC, Jorfida M, Massa R - Indian Pacing Electrophysiol J (2009)

A (left side) - A 60 degree left anterior view showing coronary sinus venogram (coronary sinus, CS, posterolateral branch, PL, and anterior interventricular vein or great cardiac vein, GCV) and tricuspid valve, TV. B (right side) - An antero-posterior view showing distal course of the transvenous left ventricular, LV, pacing lead in the distal GCV; TV, mitral, MV, and aortic, AV, valves.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2683639&req=5

Figure 1: A (left side) - A 60 degree left anterior view showing coronary sinus venogram (coronary sinus, CS, posterolateral branch, PL, and anterior interventricular vein or great cardiac vein, GCV) and tricuspid valve, TV. B (right side) - An antero-posterior view showing distal course of the transvenous left ventricular, LV, pacing lead in the distal GCV; TV, mitral, MV, and aortic, AV, valves.
Mentions: A guiding catheter was introduced and placed into the ostium of the coronary sinus via the left subclavian vein. Venography of the coronary veins was performed to establish detailed anatomy (Figure 1A). A bipolar endocardial pacing lead (Pacesetter Quicksite 1056T, St. Jude) was implanted in the anterior interventricular vein (Figure 1B).

Bottom Line: Transvenous endocardial pacing through classical implantation of a pace/sensing lead in the right ventricle is strictly contraindicated in patients with a mechanical tricuspid valve.Usually permanent pacing is achieved by an epimyocardial surgical approach.The described use of left ventricle pacing through a coronary vein lead, in a patient with favorable venous anatomy, provided (through a minimal invasive approach) effective with a low and stable threshold.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Unit, Department of Medicine, University of Turin, Italy. matt.ans@alice.it

ABSTRACT
Transvenous endocardial pacing through classical implantation of a pace/sensing lead in the right ventricle is strictly contraindicated in patients with a mechanical tricuspid valve. Usually permanent pacing is achieved by an epimyocardial surgical approach. We hereby describe the implantation of a single site left ventricle pacing lead in the anterior interventricular vein in a 60 year-old woman with symptomatic bradycardia, permanent atrial fibrillation, and mechanical tricuspid valve. The described use of left ventricle pacing through a coronary vein lead, in a patient with favorable venous anatomy, provided (through a minimal invasive approach) effective with a low and stable threshold.

No MeSH data available.


Related in: MedlinePlus