Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Endowed Professor
Article types Case report
Language English
Peer review Non peer reviewed
Title Transvenous biventricular pacing in double-inlet left ventricle following ventricular septation and atrioventricular valve replacement.
Journal Formal name:Europace : European pacing, arrhythmias, and cardiac electrophysiology
ISSN code:1099-5129/1532-2092
Domestic / ForeginForegin
Publisher European Heart Rhythm Association, a Registered Branch of the ESC and the ESC Working Group on Cardiac Cellular Electrophysiology
Volume, Issue, Page 19(12),pp.1987
Author and coauthor TAKEUCHI Daiji†, YAGISHITA Daigo, TOYOHARA Keiko, NISHIMURA Tomomi, Park In-sam, SHODA Morio*
Authorship Corresponding author
Publication date 2017/12
Summary 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