title: Permanent left ventricular pacing from the great cardiac vein of a patient with artificial tricuspid and mitral valves--a case report.
abstract: Transvenous placement of a right ventricular pacemaker lead through the artificial tricuspid valve is a known contraindication, and in this situation, epicardial pacemaker implantation is the procedure of choice. However, permanent pacemaker implantation is a subject for debate when the use of the epicardial route is impossible. This report describes alternate transvenous routes for a pacemaker lead in a patient with an artificial tricuspid valve and mitral valve in whom the epicardial lead and pacemaker generator must be removed because of resistant infection.
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey. mkbatur@hotmail.com
authors.forename: M K
authors.initials: MK
authors.lastname: Batur
authors.forename: E
authors.initials: E
authors.lastname: Akgül
authors.forename: K
authors.initials: K
authors.lastname: Ovünç
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000379:methods; D004562:Electrocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D010138:Pacemaker, Artificial; D016459:Prosthesis-Related Infections / Q000601:surgery; D014261:Tricuspid Valve / Q000601:surgery*; D016277:Ventricular Function, Left