Document Detail

Special considerations in ventricular pacing in patients with tricuspid valve disease.
MedLine Citation:
PMID:  6860031     Owner:  NLM     Status:  MEDLINE    
In patients who have undergone prosthetic tricuspid valve replacement or tricuspid annuloplasty and in whom the pericardial space is obliterated by adhesions from previous operations, the need for ventricular pacing may be met by lead placement in the venous tributaries of the coronary veins. This approach avoids compromise of prosthetic tricuspid valve function and injury to bioprosthetic valves and natural valves repaired by annuloplasty. Although acute stimulation thresholds are slightly higher than those for short-term endocardial implants, stable long-term ventricular pacing has been observed in patients reported in the literature in whom such lead placement was inadvertent and in the 2 patients in the present paper in whom such replacement was deliberate. This method appears to be a safe alternative to standard ventricular pacing techniques under the special circumstances reported here.
M E Lee
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  36     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1983 Jul 
Date Detail:
Created Date:  1983-07-29     Completed Date:  1983-07-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  89-92     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Pacing, Artificial / methods*
Heart Valve Prosthesis
Heart Ventricles
Middle Aged
Tricuspid Valve / surgery*
Tricuspid Valve Insufficiency / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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