Europace Advance Access originally published online on April 17, 2008
Europace 2008 10(6):736-737; doi:10.1093/europace/eun096
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ICDs
New transvenous implantable cardioverter defibrillator configuration for use after tricuspid valve surgery
Department of Cardiology, The Texas Heart Institute at St Luke's Episcopal Hospital and Baylor College of Medicine, 6624 Fannin, Suite 2780, Houston, TX 77030, USA
A 57-year-old patient with a tricuspid valve (TV) prosthesis underwent successful atrioventricular pacing and internal defibrillation via a totally transvenous approach without crossing the TV. Ventricular pacing and sensing were obtained with a bipolar lead in the lateral cardiac vein. Internal defibrillation was obtained with a coil lead in the middle cardiac vein and an active can pulse generator in the left infraclavicular region.
* Corresponding author. Tel: +1 713 790 9401; fax: +1 713 790 0353. E-mail address: jalopez{at}bcm.tmc.edu or atownley{at}heart.thi.tmc.edu
Manuscript submitted 1 February 2008. Accepted after revision 23 March 2008.