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The first successful implantation of an intravenous AAIR pacemaker into autologous extracardiac lateral tunnel Fontan in the child |
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| Authors: | Aleksandra Konieczny Ewa Jędrzejczyk-Patej Jonasz Kozielski Wiktoria Kowalska Maciej Bugajski Linda Litwin Zbigniew Kalarus Beata Średniawa Oskar Kowalski |
| Affiliation: | 1. Student Scientific Circle at the Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center of Heart Diseases, Zabrze, Poland;2. Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center for Heart Diseases, Zabrze, Poland;3. Department of Congenital Heart Diseases and Pediatric Cardiology, Silesian Center for Heart Diseases, Zabrze, Poland;4. Department of Dietetics, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland;5. Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland |
| Abstract: | Patients with a single ventricle have complex anatomy that requires staged palliation which is usually the Fontan procedure. This procedure has undergone a lot of modifications to improve hemodynamics. Despite these efforts, sinus node dysfunction (SND) and bradyarrythmias are still common complications after Fontan operation, therefore there is a need of pacemakers implantation. Unfortunately, the most frequent technique of creating Fontan cannale – the extracardiac lateral tunnel makes the transvenous access to the atrium difficult or impossible to achieve. We report a case of successful implantation of an endocardial atrial lead for SND in patient with an extracardiac autologous Fontan tunnel. |
| Keywords: | Corresponding author at: Department of Cardiology Congenital Heart Diseases and Electrotherapy Silesian Center for Heart Diseases Sk?odowskiej-Curie 9 41-800 Zabrze Poland. |
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