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Title

Left ventricular epicardial VVI pacing for a congenital complete heart block with severe myocardial dysfunction: shall epicardial pacing wires be positioned left?

Authors
da Cruz, Eduardo
Published in International Journal of Cardiology. 2007, vol. 116, no. 1, p. e7-9
Abstract We present the case of a patient with a congenital complete heart block (CHB) who developed a severe dilated hypokinetic cardiomyopathy whilst paced with a right-sided epicardial wire inserted by an anterior approach. She dramatically and rapidly improved both clinically and echocardiographically, once a single pacing wire was inserted on the left ventricular (LV) wall towards the apex by left thoracotomy. Based upon recent literature, attention is drawn to the fact that left-inserted epicardial pacing wires should probably be considered for pediatric patients in whom atrio-ventricular or inter-ventricular pacing might not be possible to achieve, or else as a consistent approach for small patients requiring VVI epicardial pacing.
Keywords Cardiac Pacing, Artificial/methodsCardiomyopathies/complications/congenital/therapyFemaleHeart Block/complications/congenital/therapyHeart Ventricles/surgeryHumansInfant, NewbornPacemaker, ArtificialPericardium/surgeryProsthesis Implantation/methodsTreatment Outcome
Identifiers
PMID: 17049639
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Article (Published version) (570 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research groups Chirurgie cardio-vasculaire (105)
L'hypertension pulmonaire (pédiatrie) (228)
Maladies pulmonaires aigues et pathologies cardiaques congénitales (697)
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(ISO format)
TISSOT-DAGUETTE, Cécile et al. Left ventricular epicardial VVI pacing for a congenital complete heart block with severe myocardial dysfunction: shall epicardial pacing wires be positioned left?. In: International Journal of Cardiology, 2007, vol. 116, n° 1, p. e7-9. https://archive-ouverte.unige.ch/unige:35197

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Deposited on : 2014-04-01

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