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The Annals of Thoracic Surgery, Vol 36, 89-92, Copyright © 1983 by The Society of Thoracic Surgeons
ME Lee
In patients who have undergone prosthetic tricuspid valve replacement or
tricuspid annuloplasty and in whom the pericardial space is obliterated by
adhesions from previous operations, the need for ventricular pacing may be
met by lead placement in the venous tributaries of the coronary veins. This
approach avoids compromise of prosthetic tricuspid valve function and
injury to bioprosthetic valves and natural valves repaired by annuloplasty.
Although acute stimulation thresholds are slightly higher than those for
short-term endocardial implants, stable long-term ventricular pacing has
been observed in patients reported in the literature in whom such lead
placement was inadvertent and in the 2 patients in the present paper in
whom such replacement was deliberate. This method appears to be a safe
alternative to standard ventricular pacing techniques under the special
circumstances reported here.
ARTICLES
Special considerations in ventricular pacing in patients with tricuspid valve disease
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