Describes a novel, potentially simpler direct prepectoral approach for transvenous pacing in post-Fontan patients who have exhausted epicardial options.
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May simplify transvenous pacing post-Fontan from standard approach; leaves open validation of safety and durability.
The need for transvenous pacing (patients who have exhausted epicardial options) after a Fontan-type operation has been recognized. Many novel strategies have been proposed, but currently, all of them require additional maneuvers or rerouting of the leads to the pacemaker pocket. In this report, we describe a novel direct approach to transvenous pacing after a Fontan-type operation from a standard, prepectoral approach.
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Divekar et al. (2018) studied this question.
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