Published online Sep 26, 2014. doi: 10.4330/wjc.v6.i9.1041
Revised: June 27, 2014
Accepted: July 15, 2014
Published online: September 26, 2014
Processing time: 261 Days and 12.7 Hours
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.
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.