Hoyt Walter J, Moore Jeremy P, Shannon Kevin M, Kannankeril Prince J, Fish Frank A
Division of Pediatric Cardiology, Department of Pediatrics, Ochsner Health System, New Orleans, Louisiana, USA.
Department of Pediatrics, Division of Pediatric Cardiology, UCLA Health System, Los Angeles, California, USA.
J Cardiovasc Electrophysiol. 2022 Jan;33(1):128-133. doi: 10.1111/jce.15285. Epub 2021 Nov 24.
This series describes an innovative technique for pacing in patients with sinus node dysfunction after extracardiac Fontan surgery. This transpulmonary approach to the left atrial epi-myocardium has been successfully applied to three patients at two centers and resulted in excellent acute and midterm pacing characteristics without known complications. The principal advantage of this procedure in comparison to prior iterations is the absence of pacing material within the pulmonary venous atrium, so that future systemic thromboembolism risk is minimized. The transpulmonary approach for permanent atrial pacing offers a novel solution to the unique challenges for patients after extracardiac Fontan operation.
本系列描述了一种用于心外膜Fontan手术后窦房结功能障碍患者起搏的创新技术。这种经肺进入左心房心外膜的方法已在两个中心成功应用于三名患者，产生了优异的急性和中期起搏特性，且无已知并发症。与之前的方法相比，该手术的主要优点是肺静脉心房内没有起搏材料，从而将未来系统性血栓栓塞的风险降至最低。经肺永久性心房起搏方法为心外膜Fontan手术后患者面临的独特挑战提供了一种新颖的解决方案。
