Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report

Key Clinical Message The use of endocardial pacing in patients with univentricular hearts and intracardiac shunts is limited, primarily due to the increased risk of thromboembolism. However, when accompanied by proper long‐term anticoagulation therapy, it may be safer than epicardial interventions i...

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Main Authors: Ahmad Yamini‐Sharif, Ramin Yaghoobian, Homa Ghaderian, Najme‐Sadat Moosavi
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7945
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author Ahmad Yamini‐Sharif
Ramin Yaghoobian
Homa Ghaderian
Najme‐Sadat Moosavi
author_facet Ahmad Yamini‐Sharif
Ramin Yaghoobian
Homa Ghaderian
Najme‐Sadat Moosavi
author_sort Ahmad Yamini‐Sharif
collection DOAJ
description Key Clinical Message The use of endocardial pacing in patients with univentricular hearts and intracardiac shunts is limited, primarily due to the increased risk of thromboembolism. However, when accompanied by proper long‐term anticoagulation therapy, it may be safer than epicardial interventions in selected patients at high risk for surgery. Abstract We report transvenous endocardial pacing through the atrial septal defect in a patient with tricuspid atresia, transposition of the great arteries, severe pulmonary hypertension, and complete heart block. This study is among the first reported cases using this pacing method in a patient with a univentricular heart and intracardiac shunt.
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spelling doaj.art-b4d218a4fd3d409f90041704811e0a402023-10-20T06:16:22ZengWileyClinical Case Reports2050-09042023-09-01119n/an/a10.1002/ccr3.7945Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case reportAhmad Yamini‐Sharif0Ramin Yaghoobian1Homa Ghaderian2Najme‐Sadat Moosavi3Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran IranTehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran IranTehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran IranTehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran IranKey Clinical Message The use of endocardial pacing in patients with univentricular hearts and intracardiac shunts is limited, primarily due to the increased risk of thromboembolism. However, when accompanied by proper long‐term anticoagulation therapy, it may be safer than epicardial interventions in selected patients at high risk for surgery. Abstract We report transvenous endocardial pacing through the atrial septal defect in a patient with tricuspid atresia, transposition of the great arteries, severe pulmonary hypertension, and complete heart block. This study is among the first reported cases using this pacing method in a patient with a univentricular heart and intracardiac shunt.https://doi.org/10.1002/ccr3.7945congenital heart diseaseepicardial pacingperirenal fluidtransvenous pacingtricuspid atresiauniventricular hearts
spellingShingle Ahmad Yamini‐Sharif
Ramin Yaghoobian
Homa Ghaderian
Najme‐Sadat Moosavi
Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report
Clinical Case Reports
congenital heart disease
epicardial pacing
perirenal fluid
transvenous pacing
tricuspid atresia
univentricular hearts
title Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report
title_full Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report
title_fullStr Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report
title_full_unstemmed Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report
title_short Endocardial pacing in a single‐ventricle patient with tricuspid atresia—a case report
title_sort endocardial pacing in a single ventricle patient with tricuspid atresia a case report
topic congenital heart disease
epicardial pacing
perirenal fluid
transvenous pacing
tricuspid atresia
univentricular hearts
url https://doi.org/10.1002/ccr3.7945
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