Right ventricular septal pacing via transmural approach for resynchronization in a child with postoperative heart block.

Right ventricular septal pacing via transmural approach for resynchronization in a child with postoperative heart block.
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DOI:
10.1111/pace.14054
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发表时间:
2020-10
期刊:
Pacing and clinical electrophysiology : PACE
影响因子:
--
通讯作者:
Webster G
Webster G
中科院分区:
其他
文献类型:
--
作者:
Carberry T;Hauck A;Backer C;Webster G

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一名患有大动脉转位的婴儿因术后心脏传导阻滞(单部位,RV心外膜)起搏。她出现了严重的左心室功能障碍和间隔运动障碍。在4岁时使用LV心外膜电极导线和RV间隔内电极导线进行了再扩张。将内镜电极导线固定在室间隔上,然后穿过RV游离壁并连接到腹部脉冲发生器上。QRS持续时间缩短(176至122 ms),LVEF改善(26%至61%),并保持稳定8年。我们报告一例使用透壁右心室间隔电极导线成功治疗先天性心脏病的病例。
An infant with transposition of the great arteries was paced for postoperative heart block (single-site, RV epicardial). She developed severe LV dysfunction and septal dyskinesis. Resynchronization was performed at age 4 with an LV epicardial lead and an RV septal endocardial lead. The endocardial lead was affixed to the interventricular septum, then tunneled through the RV free wall and attached to an abdominal pulse generator. QRS duration decreased (176 to 122 ms) and LVEF improved (26% to 61%) and remained stable for 8 years. We present a case of successful resynchronization in congenital heart disease using a transmural RV septal lead.
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