New transvenous implantable cardioverter defibrillator configuration for use after tricuspid valve surgery.
A 57-year-old patient with a tricuspid valve (TV) prosthesis underwent successful atrioventricular pacing and internal defibrillation via a totally transvenous approach without crossing the TV. Ventricular pacing and sensing were obtained with a bipolar lead in the lateral cardiac vein. Internal defibrillation was obtained with a coil lead in the middle cardiac vein and an 'active can' pulse generator in the left infraclavicular region.
Lopez
J Alberto
JA
Department of Cardiology, The Texas Heart Institute at St Luke's Episcopal Hospital and Baylor College of Medicine, 6624 Fannin, Suite 2780, Houston, TX 77030, USA. jalopez@bcm.tmc.edu
D017147:Defibrillators, Implantable; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery*