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Angiology
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Permanent Left Ventricular Pacing from the Great Cardiac Vein of a Patient with Artificial Tricuspid and Mitral Valves

A Case Report

Mustafa Kemal Batur, MD

Hacettepe University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey.

Ebru Akgül, MD

Hacettepe University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey.

Kenan Övünç, MD

Hacettepe University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey.

Transvenous placement of a right ventricular pacemaker lead through the artificial tricuspid valve is a known contraindication, and in this situation, epicardial pacemaker implantation is the procedure of choice. However, permanent pacemaker implantation is a subject for debate when the use of the epicardial route is impossible. This report describes alternate transvenous routes for a pacemaker lead in a patient with an artificial tricuspid valve and mitral valve in whom the epicardial lead and pacemaker generator must be removed because of resistant infection.

Angiology, Vol. 51, No. 12, 1027-1030 (2000)
DOI: 10.1177/000331970005101208
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