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Voltage mapping to guide pacemaker placement in patients with CHD

Published online by Cambridge University Press:  02 September 2019

Soham Dasgupta*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Healthcare of Atlanta, Emory University, Atlanta, GA, USA
Peter Fischbach
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Healthcare of Atlanta, Emory University, Atlanta, GA, USA
Robert Whitehill
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Healthcare of Atlanta, Emory University, Atlanta, GA, USA
*
Author for correspondence: S. Dasgupta, MD, Division of Pediatric Cardiology, Department of Pediatrics, Children’s Healthcare of Atlanta, Emory University, 1405 Clifton Road, Atlanta, GA 30322, USA. Tel: +1 404 256 2593; Fax: 770-488-9403; E-mail: dasguptasoham@gmail.com

Abstract

Transvenous pacemaker implantation for sinus node dysfunction in patients with Fontan palliation presents the difficulty of finding suitable pacing tissue and the potential of causing vascular obstruction in a low-flow circuit. We describe a patient who underwent electro-anatomic voltage mapping to guide a transvenous single chamber lead within her Fontan baffle. This highlights the use of advanced mapping technologies for pacemaker implantation in complex cyanotic heart disease.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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