Randall Jess T, Aldoss Osamah T, Law Ian H, Divekar Abhay A
Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Children's Hospital, Iowa City, IA, USA.
Ward Family Heart Center, Childrens Mercy Kansas City, Kansas City, MO, USA.
Ann Pediatr Cardiol. 2018 May-Aug;11(2):187-190. doi: 10.4103/apc.APC_157_17.
The need for transvenous pacing (patients who have exhausted epicardial options) after a Fontan-type operation has been recognized. Many novel strategies have been proposed, but currently, all of them require additional maneuvers or rerouting of the leads to the pacemaker pocket. In this report, we describe a novel direct approach to transvenous pacing after a Fontan-type operation from a standard, prepectoral approach.
人们已经认识到在进行Fontan类手术后对经静脉起搏(即那些已经用尽心外膜起搏选项的患者)的需求。已经提出了许多新颖的策略,但目前,所有这些策略都需要额外的操作或重新将导线连接到起搏器囊袋。在本报告中,我们描述了一种从标准的胸前区入路对Fontan类手术后进行经静脉起搏的新颖直接方法。