[Transvenous-subcutaneous implantation of a cardioverter-defibrillator after bioprosthetic replacement of a tricuspid valve].
The implantation of transvenous devices in patients who underwent tricuspid valve replacement represents problems, especially if an epicardial position is not available. The implantation of a "pace-sense" lead via the coronary sinus is a safe and feasible procedure. For experienced surgeons in implantation of biventricular devices, the implantation of leads via the coronary sinus is a routine procedure. Bipolar leads are essential for the correct sensing and pacing of the implantable cardioverter-defibrillator (ICD). In patients who underwent tricuspid valve replacement who have the indication of an ICD implantation postoperatively, the combination of a shock electrode placed in the superior vena cava, a subcutaneous array positioned on the left posterior close to the spine and an active can, placed subpectorally in the left infraclavicular region, is an alternative solution.
Doll
N
N
Herzzentrum, Klinik für Herzchirurgie, Universität Leipzig, Strümpellstrasse 39, 04289 Leipzig, Germany. dolln@medizin.uni-leipzig.de
Dähnert
I
I
Dorszewski
A
A
Bernau
H
H
Wetzel
U
U
Schneider
P
P
Gummert
J F
JF
Mohr
F W
FW
D000328:Adult; D017147:Defibrillators, Implantable; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D013902:Radiography, Thoracic; D013997:Time Factors; D014262:Tricuspid Valve Insufficiency / Q000601:surgery*