A novel approach to atrial endocardial pacing.
We describe a patient who had tricuspid valve replacement and in whom dual-chamber pacing was accomplished by using a ventricular epicardial lead and by placing an atrial endocardial lead through the wall of the atrial appendage and positioning the tip against the endocardial surface of the atrial appendage. A ligature was placed around the atrial appendage where the lead passed through the wall of the right atrial appendage. This obviated the need for a second procedure to place the atrial lead in a transvenous fashion. After 5 years of follow-up the patient continues with normal DVI pacing.
Hayes
D L
DL
Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Vlietstra
R E
RE
Puga
F J
FJ
Shub
C
C
D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D004567:Electrodes, Implanted; D004699:Endocardium / Q000503:physiopathology; D006325:Heart Atria; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D014261:Tricuspid Valve