Key result
Left ventricular pacing via the coronary sinus was safe and feasible for successful pacemaker implantation in a patient with a mechanical tricuspid valve and infected epicardial leads.
Why the study?
Pacemaker implantation is challenging in patients with a mechanical tricuspid valve due to risks with RV endocardial leads, while epicardial leads require surgery and are suboptimal after prior thoracotomy.
Does left ventricular pacing via the coronary sinus provide safe and feasible pacing in a patient with a mechanical tricuspid valve and infected epicardial leads?
Population
A 30-year-old female with a mechanical tricuspid valve and infected epicardial leads
Comparison
Left ventricular pacing via the coronary sinus
Design
Case report
Authors
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Alternative pacing approach feasible in mechanical tricuspid valve patients; leaves open need for prospective data before wider adoption.
Case Report (n=1)
Does left ventricular pacing via the coronary sinus provide safe and feasible pacing in a patient with a mechanical tricuspid valve and infected epicardial leads?
Left ventricular pacing via the coronary sinus is a safe and feasible alternative for patients with mechanical tricuspid valves and contraindications to traditional pacing approaches.
Singhal et al. (2024) conducted a case report in Mechanical tricuspid valve and infected epicardial leads (n=1). Left ventricular pacing via the coronary sinus was evaluated on Safety and feasibility of pacemaker implantation. Left ventricular pacing via the coronary sinus was safe and feasible for successful pacemaker implantation in a patient with a mechanical tricuspid valve and infected epicardial leads.
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