Akazawa Yusuke, Higaki Takashi, Nagai Takayuki, Sasaki Yasuhiro, Asagi Yasushi, Moritani Tomozo, Inaba Shinji, Nishiyama Hikaru, Eguchi Mariko, Yamaguchi Osamu
Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, Japan.
Department of Regional Pediatrics and Perinatology, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, Japan.
J Cardiol Cases. 2022 Mar 14;25(6):389-391. doi: 10.1016/j.jccase.2022.01.010. eCollection 2022 Jun.
In extracardiac Fontan, an epicardial pacemaker implantation has many limitations, especially given that it is highly invasive and a high-risk procedure due to repeat thoracotomy. Herein we illustrate a case with the possibility of transvenous pacing in extracardiac Fontan being less invasive and lower risk transvenous dual-chamber pacemaker implantation by electrophysiological assessment. < Transvenous pacemaker implantation via left superior vena cava may be a viable alternative to epicardial pacing with a minimally invasive procedure in patients with extracardiac Fontan.>.
在心脏外Fontan手术中，心外膜起搏器植入存在诸多局限性，尤其是考虑到其具有高度侵入性，且因需重复开胸手术而属于高风险操作。在此，我们通过电生理评估阐述了一例心脏外Fontan手术中经静脉起搏的可能性，即经静脉双腔起搏器植入的侵入性较小且风险较低。<对于心脏外Fontan手术患者，经左上腔静脉植入经静脉起搏器可能是一种可行的替代心外膜起搏的微创方法。>
