Dasgupta Soham, Fischbach Peter, Whitehill Robert
Division of Pediatric Cardiology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University, Atlanta, GA, USA.
Cardiol Young. 2019 Oct;29(10):1313-1316. doi: 10.1017/S1047951119002166. Epub 2019 Sep 2.
Transvenous pacemaker implantation for sinus node dysfunction in patients with Fontan palliation presents the difficulty of finding suitable pacing tissue and the potential of causing vascular obstruction in a low-flow circuit. We describe a patient who underwent electro-anatomic voltage mapping to guide a transvenous single chamber lead within her Fontan baffle. This highlights the use of advanced mapping technologies for pacemaker implantation in complex cyanotic heart disease.
对于接受Fontan姑息手术的患者，经静脉起搏器植入治疗窦房结功能障碍存在难以找到合适起搏组织以及在低流量循环中导致血管阻塞的可能性。我们描述了一名患者，其接受了电解剖电压标测以指导在其Fontan挡板内植入经静脉单腔导线。这凸显了先进标测技术在复杂紫绀型心脏病起搏器植入中的应用。
