The Annals of Thoracic Surgery, Vol 52, 148-150, Copyright © 1991 by The Society of Thoracic Surgeons
Permanent transfemoral pacemaker insertion after repair of congenital heart disease
GW Laub, AH Olivencia-Yurvati, S Muralidharan, D Morse, SB Pollock, M Adkins and LB McGrath
Department of Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.
In certain patients with anomalies of systemic venous connection,
traditional transvenous pacemaker lead insertion may not be technically
feasible. We report the use of the femoral venous approach to insert a
permanent pacemaker in a patient with congenital heart disease who had
undergone two previous cardiac operations and had persistent anomalies of
the superior systemic venous circulation. We recommend that the femoral
venous approach be considered in select patients requiring permanent
pacing.