Right ventricular lead implantation facilitated by a guiding sheath in a patient with severe chamber dilatation with tricuspid regurgitation |
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Authors: | Lim Phang Boon Lefroy David C |
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Institution: | Department of Cardiac Electrophysiology, Imperial College Healthcare NHS Trust, Cardiology Department, St Mary's Hospital, Pread Street, London W2 1NY. |
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Abstract: | Implantation of pacemakers can be challenging in the context of dilated cardiac chambers and valvular regurgitation. We report a difficult case of single chamber pacemaker implantation in a patient with restrictrive cardiomyopathy resulting in grossly enlarged atria and severe tricuspid regurgitation. In this situation, use of a slittable guiding sheath, more typically used for coronary sinus lead implantation, greatly facilitated rapid and stable deployment of the right ventricular lead. |
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Keywords: | Restrictive cardiomyopathy giant atria guiding sheaths pacemaker |
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