title: Extracardiac autologous pericardial tunnel Fontan allows implantation of an endocardial atrial lead for sinus node dysfunction.
abstract: Sinus node dysfunction is common after the Fontan procedure, and pacemaker implantation has been reported in 9.2% of Fontan patients. The two options for pacemaker implantation for sinus node dysfunction after the Fontan operation are epicardial lead placement, which allows for dual-chamber pacing, or transvenous atrial pacing. We report the first successful implantation of an endocardial atrial lead for sinus node dysfunction in a patient with an extracardiac lateral tunnel Fontan.
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Newcombe
authors.affiliation: Division of Pediatric Cardiology, Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Brent
authors.initials: B
authors.lastname: Gordon
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Anees
authors.initials: A
authors.lastname: Razzouk
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Leonard
authors.initials: L
authors.lastname: Bailey
authors.affiliation: Division of Pediatric Cardiology, Loma Linda University Medical Center, Loma Linda, California; University of California, Los Angeles Cardiac Arrhythmia Center, Los Angeles, California. Electronic address: mandapati@mednet.ucla.edu.
authors.forename: Ravi
authors.initials: R
authors.lastname: Mandapati
mesh_terms: D002648:Child; D004567:Electrodes, Implanted; D004699:Endocardium; D005260:Female; D018729:Fontan Procedure / Q000379:methods; D006325:Heart Atria; D006801:Humans; D010138:Pacemaker, Artificial; D010496:Pericardium / Q000637:transplantation*; D011183:Postoperative Complications / Q000628:therapy*; D012804:Sick Sinus Syndrome / Q000628:therapy*