Long-term follow-up of left ventricular pacing via a posterior cardiac vein after mechanical tricuspid valve replacement.
Permanent cardiac pacing was recommended in a 66-year-old woman with mechanical prosthetic mitral and tricuspid valves. To avoid a thoracotomy, a conventional endocardial lead was inserted with a steerable stylet (Locator) into the posterior cardiac vein via the right cephalic vein. Four weeks later, lead dislodgement required reoperation. The lead position remained stable up to 29 months.
Department of Thoracic and Cardiovascular Surgery, Heinrich Heine-University, Moorenstrasse 5, 40225 Duesseldorf, Germany.
J
J
Winter
H
H
Gramsch-Zabel
G
G
Fürst
J A
JA
Koch
N
N
Zimmermann
E
E
Gams
D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000379:methods; D000075202:Contraindications; D003331:Coronary Vessels; D004567:Electrodes, Implanted; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve; D010138:Pacemaker, Artificial; D013997:Time Factors; D014261:Tricuspid Valve