Transatrial permanent pacing lead implantation in a patient of Ebstein's anomaly after one and half repair.
Several innovative approaches have been described to achieve endocardial pacing in patients with operated complex congenital heart diseases. We report herein a case of Ebstein's anomaly who underwent a Hardy's repair with a bidirectional Glenn shunt, tricuspid valve annuloplasty and atrial septal defect closure following which she developed complete heart block. The chest was reopened through the previous midsternotomy and a screw-in lead implanted transatrially that resulted in optimal pacing thresholds. This technique offers a viable alternative for endocardial pacing in peri-operative patients requiring permanent pacing.
Juneja
Rajnish
R
Department of Cardiology, All India Institute of Medical Sciences, New Delhi. rjuneja2@rediffmail.com
Saxena
Anita
A
Choudhary
Shiv
S
Airan
Balram
B
D000328:Adult; D002304:Cardiac Pacing, Artificial; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D004437:Ebstein Anomaly / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D011859:Radiography