Scientific article
Letter
English

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

Published inInternational journal of cardiology, vol. 116, no. 1, p. e7-9
Publication date2007
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
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
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Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0167-5273
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