TY - JOUR
T1 - Para-hisian pacing for a pediatric patient with a congenitally corrected transposition of the great arteries (SLL)
AU - Takemoto, Masao
AU - Nakashima, Atsuhiro
AU - Muneuchi, Jun
AU - Yamamura, Ken Ichiro
AU - Shiokawa, Yuichi
AU - Sunagawa, Kenji
AU - Tominaga, Ryuji
PY - 2010/1/1
Y1 - 2010/1/1
N2 - We report a pediatric patient with a congenitally corrected transposition of the great arteries (ccTGA)(SLL) in which permanent para-Hisian pacing (PPHP) could improve dyssynchrony-associated systemic ventricular (SV) dysfunction resulting from permanent morphologic left ventricular pacing for complete atrioventricular block. Since, in patients with ccTGA(SLL), an elongated His-bundle runs medially toward the upper septum to the site of the fibrous continuity between the right-sided mitral valve and pulmonary artery, the His-bundle may easily be captured by a pacing lead, unlike in normal hearts. Thus, PPHP may be an effective therapeutic strategy for the treatment of dyssynchrony-associated SV dysfunction associated with ccTGA (SLL). (PACE 2010; e4-e7)
AB - We report a pediatric patient with a congenitally corrected transposition of the great arteries (ccTGA)(SLL) in which permanent para-Hisian pacing (PPHP) could improve dyssynchrony-associated systemic ventricular (SV) dysfunction resulting from permanent morphologic left ventricular pacing for complete atrioventricular block. Since, in patients with ccTGA(SLL), an elongated His-bundle runs medially toward the upper septum to the site of the fibrous continuity between the right-sided mitral valve and pulmonary artery, the His-bundle may easily be captured by a pacing lead, unlike in normal hearts. Thus, PPHP may be an effective therapeutic strategy for the treatment of dyssynchrony-associated SV dysfunction associated with ccTGA (SLL). (PACE 2010; e4-e7)
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U2 - 10.1111/j.1540-8159.2009.02559.x
DO - 10.1111/j.1540-8159.2009.02559.x
M3 - Article
C2 - 19793363
AN - SCOPUS:73649145876
SN - 0147-8389
VL - 33
SP - e4-e7
JO - PACE - Pacing and Clinical Electrophysiology
JF - PACE - Pacing and Clinical Electrophysiology
IS - 1
ER -