4.6 Editorial Material

Extracardiac Autologous Pericardial Tunnel Fontan Allows Implantation of an Endocardial Atrial Lead for Sinus Node Dysfunction

Journal

ANNALS OF THORACIC SURGERY
Volume 98, Issue 3, Pages 1904-1096

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2013.09.115

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Sinus node dysfunction is common after the Fontan procedure, and pacemaker implantation has been reported in 9.2% of Fontan patients. The two options for pacemaker implantation for sinus node dysfunction after the Fontan operation are epicardial lead placement, which allows for dual-chamber pacing, or transvenous atrial pacing. We report the first successful implantation of an endocardial atrial lead for sinus node dysfunction in a patient with an extracardiac lateral tunnel Fontan. (C) 2014 by The Society of Thoracic Surgeons

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