Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California.
Division of Pediatric Cardiology, Loma Linda University Medical Center, Loma Linda, California.
Ann Thorac Surg. 2014 Sep;98(3):1094-6. doi: 10.1016/j.athoracsur.2013.09.115.
Sinus node dysfunction is common after the Fontan procedure, and pacemaker implantation has been reported in 9.2% of Fontan patients. The two options for pacemaker implantation for sinus node dysfunction after the Fontan operation are epicardial lead placement, which allows for dual-chamber pacing, or transvenous atrial pacing. We report the first successful implantation of an endocardial atrial lead for sinus node dysfunction in a patient with an extracardiac lateral tunnel Fontan.
窦房结功能障碍在 Fontan 手术后很常见,据报道,Fontan 患者中有 9.2%需要植入起搏器。Fontan 手术后窦房结功能障碍时起搏器植入的两种选择是心外膜导联放置,可实现双腔起搏,或经静脉心房起搏。我们报告了首例在体外侧隧道 Fontan 患者中成功植入心内膜心房导联治疗窦房结功能障碍。