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
in 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.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pacemaker, Artificial
/
Transposition of Great Vessels
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Bundle of His
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Cardiac Pacing, Artificial
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Atrioventricular Block
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Pacing Clin Electrophysiol
Year:
2017
Type:
Article
Affiliation country:
India