title: [Transvenous-subcutaneous implantation of a cardioverter-defibrillator after bioprosthetic replacement of a tricuspid valve].
abstract: 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.
authors.affiliation: Herzzentrum, Klinik für Herzchirurgie, Universität Leipzig, Strümpellstrasse 39, 04289 Leipzig, Germany. dolln@medizin.uni-leipzig.de
authors.forename: N
authors.initials: N
authors.lastname: Doll
authors.forename: I
authors.initials: I
authors.lastname: Dähnert
authors.forename: A
authors.initials: A
authors.lastname: Dorszewski
authors.forename: H
authors.initials: H
authors.lastname: Bernau
authors.forename: U
authors.initials: U
authors.lastname: Wetzel
authors.forename: P
authors.initials: P
authors.lastname: Schneider
authors.forename: J F
authors.initials: JF
authors.lastname: Gummert
authors.forename: F W
authors.initials: FW
authors.lastname: Mohr
mesh_terms: 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*