Trans-aortic his bundle ablation with permanent ventricular pacing via the coronary sinus in L-transposition of great arteries with classic Fontan procedure

Ermis C., Zadeii G., Gupta M., Benditt D.

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, vol.7, no.3, pp.257-260, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 3
  • Publication Date: 2002
  • Doi Number: 10.1023/a:1021397626467
  • Journal Name: JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.257-260
  • Keywords: L-transposition of great arteries, Fontan procedure, congenital heart disease, pacemaker, arrhythmia, EXPERIENCE, OPERATION
  • Akdeniz University Affiliated: Yes

Abstract

We report findings in a patient with 1-transposition of great arteries with single ventricle and classic Fontan procedure who required both His bundle ablation for palliation of refractory atrial tachycardia and placement of a transvenous dual-chamber atrioventricular permanent pacemaker for hemodynamic support. A method for retrograde trans-aortic His bundle ablation in this congenital anomaly and subsequent placement of permanent dual chamber pacemaker using the right atrium and coronary sinus as an access to the ventricle is described.