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Bert Hansky
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Kazutomo Minami
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Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2005;80:328-330
© 2005 The Society of Thoracic Surgeons

Case report

Left Ventricular Pacing Through the Anterior Interventricular Vein in a Patient With Mechanical Tricuspid, Aortic and Mitral Valves

Masataka Yoda, MD*, Bert Hansky, MD, Sebastian Schulte-Eistrup, MD, Reiner Koerfer, MD, PhD, Kazutomo Minami, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, University of Bochum, Bad Oeynhausen, Germany

Accepted for publication January 9, 2004.

* Address reprint requests to Dr Yoda, Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, University of Bochum, Georgstrasse 11, 32545 Bad Oeynhausen, Germany (Email: masatakayoda{at}aol.com).

Transvenous endocardial pacemaker implantation is contraindicated in patients after mechanical tricuspid valve replacement. A 76-year-old woman who suffered from bradyarrhythmia was implanted with a left ventricular pacing lead through a transvenous coronary vein after aortic, mitral, and tricuspid valve replacements. There were no complications and the stimulation thresholds were stable. The use of coronary vein leads provides a minimally invasive approach, safety, and effective stimulation for patients with a mechanical tricuspid valve.






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