Para-Hisian pacing for a pediatric patient with a congenitally corrected transposition of the great arteries (SLL).
We report a pediatric patient with a congenitally corrected transposition of the great arteries (ccTGA)(SLL) in which permanent para-Hisian pacing (PPHP) could improve dyssynchrony-associated systemic ventricular (SV) dysfunction resulting from permanent morphologic left ventricular pacing for complete atrioventricular block. Since, in patients with ccTGA(SLL), an elongated His-bundle runs medially toward the upper septum to the site of the fibrous continuity between the right-sided mitral valve and pulmonary artery, the His-bundle may easily be captured by a pacing lead, unlike in normal hearts. Thus, PPHP may be an effective therapeutic strategy for the treatment of dyssynchrony-associated SV dysfunction associated with ccTGA (SLL).
Takemoto
Masao
M
Department of Cardiovascular Medicine, Heart Center, Kyushu University Hospital, 3-1-1Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. matakemo@cardiol.med.kyushu-u.ac.jp
Nakashima
Atsuhiro
A
Muneuchi
Jun
J
Yamamura
Ken-Ichiro
K
Shiokawa
Yuichi
Y
Sunagawa
Kenji
K
Tominaga
Ryuji
R
D054537:Atrioventricular Block / Q000628:therapy; D002036:Bundle of His; D002304:Cardiac Pacing, Artificial; D002648:Child; D005260:Female; D006801:Humans; D014188:Transposition of Great Vessels / Q000628:therapy*