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Europace Advance Access published online on September 29, 2009
Europace, doi:10.1093/europace/eup269
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

SHORT COMMUNICATION

Trans-septal left ventricular endocardial pacing through a persistent left-sided superior vena cava

Paul A. Scott1,2,*, Paul R. Roberts1,2 and John M. Morgan1,2

1 Wessex Cardiothoracic Unit, Southampton University Hospital, Tremona Road, Southampton SO16 6YD, UK; 2 University of Southampton, University Road, Southampton SO17 1BJ, UK

Abstract

Cardiac resynchronization therapy (CRT) via the coronary sinus is not always possible. Left ventricular (LV) endocardial lead placement is a potential alternative, although its feasibility in patients with congenital heart disease is unknown. We report a case of endocardial LV pacing in a patient with a persistent left-sided superior vena cava. The procedure was successfully performed without complication, using standard equipment.

Key Words: Left ventricular endocardial pacing, Cardiac resynchronization therapy, Heart failure, Congenital heart disease

* Corresponding author. Tel: +44 02380 798487, Fax: +44 02380 796614, Email: paul.andrew.scott{at}btinternet.com

Manuscript submitted 11 June 2009. Accepted after revision 26 August 2009.


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