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:
影响因子:
--
通讯作者:
Webster G
中科院分区:
文献类型:
--
作者:
Carberry T;Hauck A;Backer C;Webster G
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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