タケウチ　ダイジ   Takeuchi Daiji   竹内　大二    所属   医学部 医学科（東京女子医科大学病院）    職種   講師
論文種別	症例報告
言語種別	英語
査読の有無	査読なし
表題	Transvenous biventricular pacing in double-inlet left ventricle following ventricular septation and atrioventricular valve replacement.
掲載誌名	正式名：Europace : European pacing, arrhythmias, and cardiac electrophysiology 略　 称：Europace ISSNコード：1099-5129/1532-2092
掲載区分	国外
出版社	European Heart Rhythm Association, a Registered Branch of the ESC and the ESC Working Group on Cardiac Cellular Electrophysiology
巻・号・頁	19(12),pp.1987
著者・共著者	TAKEUCHI Daiji†, YAGISHITA Daigo, TOYOHARA Keiko, NISHIMURA Tomomi, Park In-sam, SHODA Morio*
担当区分	筆頭著者
発行年月	2017/12
概要	Here we report the first case of successful transvenous biventricular (BiV) pacemaker implantation in a 32-year-old man with double-inlet left ventricle following mechanical atrioventricular valve replacement and permanent atrial fibrillation. The patient underwent ventricular septation and epicardial pacemaker implantation for a surgical heart block at 4 years of age and mechanical right-side atrioventricular valve (functional tricuspid valve) replacement at 21 years of age. Because of epicardial pacing lead failure and worsening heart failure, we attempted to place BiV transvenous pacing leads. We cannulated the coronary sinus using a Selectra lead delivery catheter (Biotronik) and placed a quadripolar lead (Quartet model 1458Q; St. Jude Medical) into a branch of the lateral cardiac vein (Panel B). An additional bipolar lead (QuickFlex model 1258T; St. Jude Medical) was placed into an anomalous small anterior cardiac vein branching from the right atrium to establish BiV pacing (Panels A and B). A BiV pacemaker (Allure Quadra RF CRT-P PM3242, St. Jude Medical) was implanted in the left chest and programmed in the BiV-VVIR mode, resulting in stable BiV pacing, narrowing of the QRS duration from 194 to 158 ms, and improvement in the heart failure symptoms.
DOI	10.1093/europace/euw322
PMID	28398485