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Related Experiment Videos

Permanent transvenous pacing after a Mustard procedure.

C E Handler1, M Greaves, J M Walker

  • 1Department of Cardiology, University College and Middlesex Hospitals, London, England.

Pacing and Clinical Electrophysiology : PACE
|November 1, 1989
PubMed
Summary

A 20-year-old man with transposition of the great vessels experienced syncope due to sinoatrial disease. Transvenous pacing in VVI mode successfully treated his condition.

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Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Electrophysiology

Background:

  • Transposition of the great vessels (TGV) is a critical congenital heart defect requiring early intervention.
  • The Mustard procedure is a palliative surgical repair for TGV, rerouting blood flow.
  • Sinoatrial (SA) node dysfunction can occur in adults with repaired TGV.

Observation:

  • A 20-year-old male with a history of TGV repair (balloon septostomy and Mustard procedure) presented with recurrent syncopal episodes.
  • These syncopal attacks were attributed to sinoatrial disease, indicating a failure of the heart's natural pacemaker.
  • The patient's condition necessitated an intervention to manage the bradycardia and syncope.

Findings:

  • Transvenous pacing was successfully implemented in the VVI mode.

Related Experiment Videos

  • This intervention effectively addressed the sinoatrial disease and resolved the syncopal episodes.
  • The patient tolerated the pacing procedure well, with no immediate complications reported.

    • Implications:

    • This case highlights the long-term cardiac management challenges in adults with repaired TGV.
    • Transvenous pacing offers a safe and effective treatment for sinoatrial node dysfunction in this patient population.
    • Early recognition and management of arrhythmias are crucial for improving quality of life in adults with congenital heart disease.