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Europace Advance Access published online on January 10, 2006
Europace, doi:10.1093/europace/euj023
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© The European Society of Cardiology 2006. All rights reserved
Received March 1, 2005
Accepted September 30, 2005

Article

Permanent pacing using a coronary sinus lead in a patient with univentricular physiology: an extended application of biventricular pacing technology

Ming-Jer Hsieh 1, Kuan-Hung Yeh 1, Oruganti Sai Satish 2, and Chun-Chieh Wang 1 *

1 Second Section of Cardiology, Department of Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Tao-Yuan, Taiwan
2 Nizams Institute of Medical Sciences, Hyderabad, India

* To whom correspondence should be addressed.
Chun-Chieh Wang, E-mail: chcwang{at}adm.cgmh.org.tw


  Abstract

In the past, patients requiring permanent pacing with difficult right ventricular (RV) access were usually subjected to epicardial pacing by a surgical approach. This report describes a young patient with univentricular physiology following repeated palliative surgery for complex congenital heart disease. The patient had symptomatic complete heart block and a dual chamber pacemaker with transvenous atrial and ventricular leads was implanted successfully. The ventricle was paced through the posterolateral cardiac vein with a lead specially designed for cardiac resynchronization therapy. This case illustrates an extended application of the recently developed coronary sinus lead in selected patients, when conventional RV endocardial pacing is impossible.

Keywords: Pacing; Pacemaker; Congenital heart disease; Heart block.
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