Ventricular Pacing via the Coronary Sinus in a Patient with a Mechanical Tricuspid Valve Prosthesis

• Published in: Journal of arrhythmia Vol. 27; no. 4; pp. 343 - 346
• Main Authors: Swampillai, Janice, MD, Heald, Spencer C., MD, Devlin, Gerard P., MD, Stiles, Martin K., MD
• Format: Journal Article
• Language: English
• Published: Tokyo John Wiley & Sons, Inc 01.01.2011; Wiley
• Subjects: Cardiac device implantation; Cardiovascular; Left ventricular lead; Valvular heart disease; Valvular heart disease; Cardiac device implantation; Left ventricular lead
• ISSN: 1880-4276; 1883-2148
• DOI: 10.1016/S1880-4276(11)80037-2

Implantation of a transvenous endocardial pacing lead in the right ventricle is contra-indicated after mechanical tricuspid valve replacement; therefore a surgical approach to the epicardium is usually required. This case report describes ventricular pacing via a branch of the coronary sinus in a patient with mechanical mitral, aortic and tricuspid valve replacements. In conclusion, this approach is minimally invasive, provides effective ventricular stimulation with low pacing threshold and stable lead position, and is a feasible option when transvenous right ventricular pacing is not possible.