Case Report
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World J Cardiol. Sep 26, 2014; 6(9): 1041-1044
Published online Sep 26, 2014. doi: 10.4330/wjc.v6.i9.1041
Systemic venous atrium stimulation in transvenous pacing after mustard procedure
Calogero Puntrello, Fabiana Lucà, Gaspare Rubino, Carmelo Massimiliano Rao, Sandro Gelsomino
Calogero Puntrello, Fabiana Lucà, Gaspare Rubino, Department of Cardiology, Paolo Borsellino Hospital, 91025 Marsala, Italy
Carmelo Massimiliano Rao, Department of Cardiology, Melacrino Morelli Hospital, 89129 Reggio Calabria, Italy
Sandro Gelsomino, Department of Heart and Vessels, Careggi Hospital, 50100 Florence, Italy
Author contributions: Puntrello C and Lucà F contributed equally to the paper; Puntrello C and Lucà F contributed to concept /design, draftion of the manuscript; Rubino G wrote the paper; Rao CM contributed to critical revision of the manuscript; Gelsomino S contributed to final approval of the manuscript.
Correspondence to: Fabiana Lucà, MD, Depatrment of Cardiology, Paolo Borsellino Hospital, C. da Cardilla, 91025 Marsala, Italy. fabiana.luca@alice.it
Telephone: +39-34-94122107 Fax: +39-55-923753090
Received: January 9, 2014
Revised: June 27, 2014
Accepted: July 15, 2014
Published online: September 26, 2014
Processing time: 261 Days and 12.7 Hours
Abstract

We present the case of a young woman corrected with a Mustard procedure undergoing successful transvenous double chamber pacemaker implantation with the atrial lead placed in the systemic venous channel. The case presented demonstrates that, when the systemic venous atrium is separate from the left atrial appendage, the lead can be easily and safely placed in the systemic venous left atrium gaining satisfactory sensing and pacing thresholds despite consisting partially of pericardial tissue.

Keywords: Cardiac pacing, Mustard procedure, Transposition of great arteries

Core tip: Disturbances of rhythm in patients undergoing Mustard Procedure are common and they often require implantation of a permanent pacemaker with the atrial lead usually screwed into the left atrial appendage. The case presented demonstrates that, when the systemic venous atrium is separate from the left atrial appendage, the lead can be easily and safely placed in the systemic venous left atrium gaining satisfactory sensing and pacing thresholds despite consisting partially of pericardial tissue.