Transhepatic permanent pacing in a child with complex cyanotic heart disease after total cavo pulmonary shunt (Kawashima repair).
Complex cyanotic congenital heart diseases with left isomerism are sometimes associated with atrioventricular nodal conduction disturbances that may need permanent pacing. Surgical palliation in such anatomy connecting the superior vena cava to the pulmonary artery precludes a transvenous access for an endocardial pacing lead to the ventricles. Epicardial leads in these patients fail if the pacing thresholds are very high. We report transhepatic permanent ventricular lead implantation for a young boy with heterotaxy complicated by complete heart block.
Department of Pediatric Cardiology, Institute of CardioVascular Diseases, Madras Medical Mission, Chennai, 600037, India.
Anilkumar
A
Singhi
Department of Pediatric Cardiology, Institute of CardioVascular Diseases, Madras Medical Mission, Chennai, 600037, India.
Ejaz Ahmed
EA
Sheriff
Department of Pediatric Cardiology, Institute of CardioVascular Diseases, Madras Medical Mission, Chennai, 600037, India. Electronic address: drkumarsiva@hotmail.com.
Kothandam
K
Sivakumar
Complete heart block; Endocardial screw-in lead; Permanent pacing; Transhepatic access
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