Transvenous Left Ventricular Epicardial Pacing in a Patient with Tricuspid Mechanical Prosthesis
Po-Tseng Lee；Ju-Yi Chen；Liang-Miin Tsai；Yi-Heng Li；Li-Jen Lin
Bradycardia ； Left ventricular epicardial pacing ； Tricuspid mechanical prosthesis
Acta Cardiologica Sinica
|Volume or Term/Year and Month of Publication||
27卷3期（2011 / 09 / 01）
207 - 209
Patients with tricuspid mechanical prosthetic valve cannot receive transvenous right ventricular lead implantation, and they generally have surgical epicardial lead implantation instead, which is a more invasive procedure. A 56-year-old man, who had undergone surgery for tricuspid mechanical prosthetic valve replacement seven years previously, had symptomatic sinus nodal dysfunction and required permanent pacemaker implantation. The patient underwent transvenous dual-chamber pacemaker implantation. A left ventricular epicardial electrode lead was successfully implanted through the coronary vein. We demonstrated the feasibility of applying the transvenous left ventricular epicardial approach for anti-bradycardia pacing, which can be used when the trans-tricuspid approach is not appropriate.