Implantation of a Right Ventricular Implantable Cardioverter-Defibrillator Lead in the Right Ventricular Outflow Tract in a Patient with Ebstein Anomaly and Right Ventricular Lead Dislocation

Simon Pecha; Yalin Yildirim; Fabian Hahnel; Hermann Reichenspurner; Muhammed Ali Aydin

doi:10.1055/s-0032-1322614

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2014; 62(03): 253-254
DOI: 10.1055/s-0032-1322614

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Implantation of a Right Ventricular Implantable Cardioverter-Defibrillator Lead in the Right Ventricular Outflow Tract in a Patient with Ebstein Anomaly and Right Ventricular Lead Dislocation

Simon Pecha

¹Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany

,

Yalin Yildirim

¹Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany

,

Fabian Hahnel

¹Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany

,

Hermann Reichenspurner

¹Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany

,

Muhammed Ali Aydin

²Department of Electrophysiology, University Heart Center Hamburg, Hamburg, Germany

› Author Affiliations

Abstract

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Abstract

An 80-year-old patient with Ebstein anomaly and prior implantable cardioverter-defibrillator (ICD) implantation was sent to our heart center because of right ventricular (RV)-ICD lead dislocation. Positioning of the new RV lead was difficult, no stable position could be found, and sensing and threshold measurements showed weak results in the RV basis, apex, and septum. So, we conducted positioning of the lead in the RV outflow tract where a stable position with good sensing and threshold parameters was found.

Keywords

pacing - congenital heart disease - CHD

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References

References
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