

![]() |
Left ventricular epicardial VVI pacing for a congenital complete heart block with severe myocardial dysfunction: shall epicardial pacing wires be positioned left? |
|
Authors | ||
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 | PMID: 17049639 | |
Full text | ||
Structures | ||
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 |