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Permanent Pacing in a Patient with Tricuspid Prosthesis Widening Therapeutic use of Coronary Sinus

Publication Type : Journal Article

Thematic Areas : Medical Sciences

Publisher : Indian Heart Journal

Source : Indian Heart J, Volume 65, Issue 5, p.611–613 (2013)

Url : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3861017/

Campus : Kochi

School : School of Medicine

Department : Cardiology

Year : 2013

Abstract : Unconventional sites are being used for pacing in patients with inaccessible right ventricle like single ventricle, atresia of tricuspid valve and in anomalous venous drainage. Here we report a case in which the right ventricle could not be accessed due to the metallic prosthesis. A 41-year-old lady required triple valve replacement for rheumatic involvement. Permanent pacemaker implantation was done with epicardial lead for bradycardia post operatively. Pulse generator change was needed within 3 years as the pacemaker reached end of life due to high lead threshold. Subsequent pacemaker implantation was done with a left ventricular lead in coronary sinus by percutaneous approach. One year after implantation, the threshold remains stable. Coronary sinus can be utilized for permanent pacing in patients with inaccessible right ventricle due to prosthetic tricuspid valve.

Cite this Research Publication : P. Kamath, P. G. Pai, Vijayakumar M., "Permanent pacing in a patient with Tricuspid prosthesis widening therapeutics use of coronary sinus," Indian Heart Journal, Sept - Oct 65(5) 611 – 13 EPub 2013 Aug 31

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