title: Permanent ventricular pacing from coronary sinus after Fontan operation using newly designed left ventricular lead.
abstract: The functional single ventricles in Fontan procedures are isolated from the systemic return and thereby precluding conventional endocardial ventricular pacing. We reported a young patient who underwent Fontan operation at the age of 8 years old. He presented with significant bradyarrhythmias 13 years later requiring pacing therapy. A specially designed self-retained left ventricular (LV) pacing lead was implanted successfully through the coronary sinus and its anterolateral branch with satisfactory and stable chronic thresholds by one year's follow-up.
authors.affiliation: Cardiac Medical Unit, Grantham Hospital, Hong Kong, People's Republic of China. yyfan@hkucc.hku.hk
authors.forename: Katherine
authors.initials: K
authors.lastname: Fan
authors.forename: Tak-Cheung
authors.initials: TC
authors.lastname: Yung
mesh_terms: D000328:Adult; D001919:Bradycardia / Q000209:etiology* / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D022062:Electrophysiologic Techniques, Cardiac; D005240:Feasibility Studies; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects*; D006327:Heart Block / Q000209:etiology* / Q000628:therapy*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D016896:Treatment Outcome