Implantation of a single chamber pacemaker in patients with triple mechanical valve prosthesis: utilization of coronary sinus distal branches to stimulate the left ventricle.
The implantation of a permanent pacemaker and its relative leads is still a challenge in patients with mechanical tricuspid valve prosthesis. The implant is usually performed epicardially or during valve replacement to avoid any damage to the valve and/or early damages to the lead. We describe the case of a patient with a tricuspid valve prosthesis implanted with a permanent single-chamber pacemaker using an endocardial lead positioned in a distal branch of the coronary sinus to stimulate the left ventricle.
Curnis
Antonio
A
Divisione di Cardiologia, Università degli Studi e Spedali Civili di Brescia, Italy. acurni@tin.it
Mascioli
Giosuè
G
Bianchetti
Federico
F
Bontempi
Luca
L
Marconi
Renato
R
D'Aloia
Antonio
A
Dei
Cas Livio
CL
D001021:Aortic Valve; D003331:Coronary Vessels; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve; D010138:Pacemaker, Artificial; D014261:Tricuspid Valve