Transatrial dual chamber biventricular pacemaker-defibrillator placement in a patient with SVC obstruction.
A patient with severe congestive heart failure and obstruction of the superior vena cava required biventricular pacing and ICD therapy. Via right minithoracotomy, a transatrial approach for lead placement was successfully utilized to provide cardiac resynchronization and ICD placement. This technique for pacing lead placement is reviewed and its application for biventricular pacemaker-defibrillator placement is reported.
D000368:Aged; D000369:Aged, 80 and over; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial; D013479:Superior Vena Cava Syndrome / Q000150:complications / Q000628:therapy*