Intercommissural lead placement into a right ventricular coronary sinus-utility of intracardiac echo guidance

Christopher J. McLeod, Naser M. Ammash, Samuel J. Asirvatham

Research output: Contribution to journalArticle

Abstract

Patients with congenital heart disease and prosthetic valves frequently present management dilemmas related to cardiac pacing and lead placement. Permanent pacing of the right ventricle across a bioprosthetic tricuspid valve presents discreet issues related to its potential for traumatic injury and subsequent prosthetic valve dysfunction. Coronary sinus (CS) lead placement is being used more frequently to avoid valvular dysfunction. We report an unusual case in which the CS ostium was located ventricular to the tricuspid prosthesis. Intracardiac echocardiography was used to position a CS lead between the commissures of the tricuspid prosthesis resulting in trivial regurgitation acutely and at 1-year follow-up. (PACE 2011; 34:e30-e32)

Original languageEnglish (US)
Pages (from-to)e30-e32
JournalPACE - Pacing and Clinical Electrophysiology
Volume34
Issue number3
DOIs
StatePublished - Mar 1 2011

Keywords

  • congenital heart disease
  • echocardiography
  • pacing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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