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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2011; 03(02): 70-73
DOI: 10.4103/1947-489X.210874
Case Report

Cardiac magnetic resonance imaging utilization for optimal pacemaker placement in stented baffle in transposition of great arteries

Mahmoud Houmsse
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA
,
Gina Mentzer
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA
,
Marshall Winner
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA
,
Craig Adams
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA
,
Charles Love
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA
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In dextro-transposition of great arteries (d-TGA), especially in an adult who has undergone both Mustard operation and superior vena cava (SVC) baffle stenting, permanent pacemaker lead placement can prove to be challenging. Magnetic Resonance Imaging (MRI) can be utilized for procedural planning and locating optimal anatomical sites for lead placement. In this report, we demonstrate dualchamber permanent pacemaker (PPM) lead placement through a stented SVC baffle to the left atrium (LA) and left ventricle (LV). This was done after an MRI demonstrated stent patency and anatomical locations within the LA for potential pacing. Knowledge of SVC patency and less-thanoptimal anatomy of adults with congenital heart defects are imperative in PPM.

Key-words:

transposition of great arteries - magnetic resonance imaging - pacemaker - stented - baffle


Publication History

Received: 30 August 2010

Accepted: 22 November 2010

Article published online:
23 May 2022

© 2011. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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