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Ann Thorac Surg 2007;83:1183-1185
© 2007 The Society of Thoracic Surgeons

Case Reports

Successful Use of Transvenous Atrial and Bifocal Left Ventricular Pacing in Ebstein’s Anomaly After Tricuspid Prosthetic Valve Surgery

J. Alberto Lopez, MDa,*, D. Richard Leachman, MDb

a Texas Heart Institute at St. Luke’s Episcopal Hospital, Houston, Texas
b Baylor College of Medicine, Houston, Texas

Accepted for publication August 3, 2006.

* Address correspondence to Dr Lopez, 6624 Fannin, Suite 2780, Houston, TX 77030 (Email: lopezsalas{at}sbcglobal.net).

A 62-year-old woman with Ebstein’s anomaly and a tricuspid valve prosthesis underwent placement of a permanent atrioventricular pacemaker to treat highly symptomatic sinus node dysfunction and atrioventricular block. Transvenous bipolar leads were placed in the anterior cardiac and lateral coronary veins and were set to optimal ventricular pacing parameters to preserve prosthetic valve function, back-up ventricular pacing, and maintain atrioventricular and interventricular synchrony. An atrial septal lead was placed to control atrial pacing. Interventricular and atrioventricular timing were optimized with the use of tissue Doppler imaging and the Doppler-derived stroke volume.




This article has been cited by other articles:


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 EuropaceHome page
J. A. Lopez
Implantable cardioverter defibrillator lead placement in the middle cardiac vein after tricuspid valve surgery
Europace, February 14, 2012; (2012) eus013v1.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. A. Lopez
Total Transvenous Approach to Pacing and Defibrillation After Ebstein's Anomaly
Ann. Thorac. Surg., January 1, 2009; 87(1): 303 - 305.
[Abstract] [Full Text] [PDF]


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