Archives of the Turkish Society of Cardiology
An effective and safe alternative to epicardial pacemaker placement for permanent pacemaker implantation in a patient with mechanical tricuspid valve: stimulation of the left ventricle through the coronary sinus [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2011; 39(3): 244-247 | DOI: 10.5543/tkda.2011.01322

An effective and safe alternative to epicardial pacemaker placement for permanent pacemaker implantation in a patient with mechanical tricuspid valve: stimulation of the left ventricle through the coronary sinus

Ahmet Duran Demir1, Nihat Şen2, Ali Rıza Erbay1, Ramazan Atak1
1Department of Cardiology, Yuksek Ihtisas Education And Research Hospital, Ankara, Turkey
2Department of Cardiology, Mustafa Kemal University, School of Medicine, Hatay, Turkey

Implantation of a transvenous endocardial pacemaker is contraindicated in patients with a mechanical tricuspid valve. An epicardial left ventricular pacemaker lead was placed by a transvenous route through the coronary sinus into the lateral cardiac vein in a 58-year-old woman with mechanical aortic, mitral, and tricuspid valves, for permanent pacing due to chronic atrial fibrillation with a slow ventricular rate accompanied by syncope. This lead was then connected to a single-chamber pacemaker. The patient had no problem in the following three months. Placement of an epicardial pacing lead through the coronary sinus provides a safe and effective pacing in patients with a mechanical tricuspid valve, thus obviating major cardiac surgery.

Keywords: Cardiac pacing, artificial/methods, coronary sinus, electrodes, implanted; tricuspid valve/surgery

How to cite this article
Ahmet Duran Demir, Nihat Şen, Ali Rıza Erbay, Ramazan Atak. An effective and safe alternative to epicardial pacemaker placement for permanent pacemaker implantation in a patient with mechanical tricuspid valve: stimulation of the left ventricle through the coronary sinus. Turk Kardiyol Dern Ars. 2011; 39(3): 244-247

Corresponding Author: Nihat Şen, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
LookUs & Online Makale