Surgical Implantation of Endocardial Lead for Adult Congenital Atrioventricular Block Combined with Obstructed Bilateral Subclavian Vein
- VernacularTitle:両側鎖骨下静脈閉塞を合併した成人先天性完全房室ブロック症例のペースメーカ治療の経験
- Author:
Eisaku Nakamura
;
Kouichiro Ochiai
;
Yukie Shirasaki
;
Hirohito Ishi
;
Koji Furukawa
;
George Endo
;
Kunihide Nakamura
- Keywords: congenital complete atrioventricular block; pacemaker implantation; transthoracic transatrial approach; obstruction of bilateral subclavian vein
- From:Japanese Journal of Cardiovascular Surgery 2017;46(3):114-118
- CountryJapan
- Language:Japanese
-
Abstract:
For A 38-year-old male diagnosed a congenital complete atrioventricular block in the neonatal period, epicardial lead and pacemaker was implanted through left thoracotomy. Although we tried to implant a pacemaker through the subclavian vein as an adult, it was unsuccessful because of obstruction of the bilateral subclavian vein. For this reason, we performed a pacemaker implantation with transatrial-endocardial lead through the right thoracotomy due to save the generator electric power. This is one of the useful techniques for cases with obstruction of the upper extremity vein.