Koroner Sinüs; Triküspit Replasmanı Olan Bir Hastada Sol Ventriküler Pacing Yolu

Yıl 2019, Cilt: 22 Sayı: 2, 126 - 127, 15.08.2019

İbrahim Etem Çelik , Mustafa Duran Sani Namık Murat

Öz

Pacing lokalizasyonunda zorluklar nedeniyle mekanik triküspid kapağı olan hastalarda transvenöz yol ile kalıcı pacemaker implantasyonu nadiren bildirilmiştir. Bu olguda, triküspid kapak replasmanı yapılan bir hastada
koroner sinüs yoluyla sol ventriküler pacing sunuldu.

Anahtar Kelimeler

Mekanik kapak, kalıcı kalp pili, koroner sinüs

Coronary Sinus: An Approach for Left Ventricular Pacing in a Patient Undergoing Tricuspid Valve Replacement

Öz

Permanent pacemaker implantation by the transvenous route in patients with a mechanical tricuspid valve
has rarely been reported because of the difficulties in determining the appropriate pacing location. Herein, we
present the case of a patient undergoing tricuspid valve replacement who required a permanent pacemaker
using the coronary sinus.

Anahtar Kelimeler

Mechanical valve, pacemaker, coronary sinus

Kaynakça

• 1. Perenkil R, Wright JS. Endocardial pacing through a prosthetic tricuspid valve. Pacing Clin Electrophysiol 1990;13:1365-6.
• 2. Cooper JP, Jayawickreme SR, Swanton RH. Permanent pacing in patients with tricuspid valve replacements. Br Heart J 1995;73:169-72.
• 3. Bai Y, Strathmore N, Mond H, Grigg L, Hunt D. Permanent ventricular pacing via the great cardiac vein. Pacing Clin Electrophysiol 1994;17:678-83.
• 4. Winter J, Gramsch-Zabel H, Furst G, Koch JA, Zimmermann N, Gams E. Long-term follow-up of left ventricular pacing via a posterior cardiac ven after mechanical tricuspid valve replacement. Pacing Clin Electrophysiol 2001;24:125-6.
• 5. Auricchio A, Steelbrink C, Butter C, Sack S, Vogt J, Misier AR, et al. Pacing Therapies in Congestive Heart Failure II Study Group, Guidant Heart Failure Research Group, Clinically efficacy of cardiac resynchroniazation therapy using left ventricular pacing in heart failure patients stratified by severity of ventricular conduction delay. J Am Coll Cardiol 2003;42:2109-16.
• 6. Alonso C, Leclercq C, d’Alonnes FR, Pavin D, Victor F, Mobo P, et al. Six year experience of transvenous left ventricular lead implantation for permanent biventricular pacing in patients with advanced heart failure: technical aspects. Heart 2001;86:405-10.