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Published on: May 11, 2018
Transvenous Establishment of a Dual-Chamber Pacing in a Patient With Total Cavopulmonary Connection Using
Tomomi Nagayama1, Yasushi Mukai1,2, Ichiro Sakamoto1
1Department of Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.
Background:
Patients are prone to bradyarrhythmias after Fontan surgery due to anatomical reasons and the surgery, whereas a transvenous approach to a cardiac chamber is difficult in patients after total cavopulmonary artery connection (TCPC) with an extracardiac conduit.
Methods And Results:
We report a case of transvenous implantation of an atrial lead into the atrial roof via the pulmonary artery and a successful upgrade to the dual chamber pacing using an existing epicardial ventricular lead.
Conclusion:
A transvenous approach toward atrial roof via pulmonary artery may be a possible option in patients with TCPC. If successful, high-risk additional surgery can be avoided.
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