Permanent nonselective His bundle pacing in an adult with L-transposition of the great arteries and complete AV block.
Pacing Clin Electrophysiol
; 40(11): 1313-1317, 2017 Nov.
Article
em En
| MEDLINE
| ID: mdl-28543795
ABSTRACT
We report the placement of a permanent transvenous nonselective His bundle pacing lead in conjunction with a transvenous pacemaker/implantable cardioverter-defibrillator in an adult with Levo-Transposition of the Great Arteries (L-TGA) and a stenotic coronary sinus (CS) ostium, which would not accommodate a transvenous left ventricular (LV) pacing lead. Nonselective His bundle pacing provided a nearly identical ventricular activation pattern in this previously unpaced patient. Many L-TGA patients will have an eventual need for permanent pacing and, given the challenges of CS cannulation, His bundle pacing may represent a preferred modality rather than pure morphologic LV pacing or surgical systemic ventricular lead placement to achieve optimal electrical synchrony.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
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Transposição dos Grandes Vasos
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Fascículo Atrioventricular
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Estimulação Cardíaca Artificial
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Bloqueio Atrioventricular
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Pacing Clin Electrophysiol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Índia