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

Tissot-Daguette, Cécile; Aggoun, Yacine; Rimensberger, Peter; Sierra Hernandez, Jorge Enrique; Kalangos, Afksendiyos; Beghetti, Maurice; da Cruz, Eduardo

doi:10.1016/j.ijcard.2006.07.173

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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		Tissot-Daguette, Cécile Aggoun, Yacine Rimensberger, Peter Sierra Hernandez, Jorge Enrique Kalangos, Afksendiyos Beghetti, Maurice 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/methods — Cardiomyopathies/complications/congenital/therapy — Female — Heart Block/complications/congenital/therapy — Heart Ventricles/surgery — Humans — Infant, Newborn — Pacemaker, Artificial — Pericardium/surgery — Prosthesis Implantation/methods — Treatment Outcome
Identifiers		DOI: 10.1016/j.ijcard.2006.07.173 PMID: 17049639
Full text		Article (Published version) (570 Kb) - Limited access to UNIGE
Structures		Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique
Research groups		Chirurgie cardio-vasculaire (105) L'hypertension pulmonaire (pédiatrie) (228) Maladies pulmonaires aigues et pathologies cardiaques congénitales (697)
Citation (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. doi: 10.1016/j.ijcard.2006.07.173 https://archive-ouverte.unige.ch/unige:35197