The use of the Doppler pulmonary artery velocity time integral to optimize placement of a ventricular pacing lead in a patient with Ebstein's anomaly.
Document Type
Article
Publication Date
8-1-2004
Abstract
Ebstein's anomaly is a rare congenital heart defect. Patients with severe symptomatic tricuspid regurgitation requiring surgical correction often have conduction system disease. We present a case of a 14 year-old girl with Ebstein's malformation and bioprosthetic tricuspid valve who required permanent pacing for symptomatic bradycardia. The placement of the right ventricular pacing lead was facilitated by the use of the Doppler pulmonary artery velocity time integral as a surrogate for stroke volume. This case demonstrates the importance of site-specific pacing and the utility of Doppler echocardiography to optimize lead placement and cardiac performance in patients with Ebstein's anomaly and advanced conduction system disease.
Publisher
Kluwer Academic Publishers
Publication Title
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
ISSN
1383-875X
Volume
11
Issue
1
First Page
55
Last Page
57
Recommended Citation
Pai, Rakesh K; Anita Kedia; Pamela Y F Hsu; Joanna Holmes; Rosella Nawman; M Beth Goens; and Fred M Kusumoto.
"The use of the Doppler pulmonary artery velocity time integral to optimize placement of a ventricular pacing lead in a patient with Ebstein's anomaly.."
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
