Novel approach to transvenous pacemaker implantation in a post-fontan adolescent.
Postoperative bradycardia is not uncommon following the Fontan procedure in patients with a functional single ventricle. The surgical connections created with various Fontan modifications may complicate access to the atria for transvenous implantation of a permanent pacemaker. We describe approaches to overcoming problems with atrial access in an adolescent with complex congenital heart disease who required permanent transvenous atrial pacing for tachycardia-bradycardia after Fontan surgery.
Johnsrude
C L
CL
The Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX 77030, USA.
Mullins
C E
CE
Vincent
J
J
Fagan
T E
TE
Friedman
R A
RA
D000293:Adolescent; D001919:Bradycardia / Q000209:etiology / Q000628:therapy*; D004567:Electrodes, Implanted; D018729:Fontan Procedure; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000628:therapy*; D013610:Tachycardia / Q000209:etiology / Q000628:therapy*