Extracardiac Autologous Pericardial Tunnel Fontan Allows Implantation of an Endocardial Atrial Lead for Sinus Node Dysfunction

Ann Thorac Surg. 2014 Sep;98(3):1094-6. doi: 10.1016/j.athoracsur.2013.09.115.


Sinus node dysfunction is common after the Fontan procedure, and pacemaker implantation has been reported in 9.2% of Fontan patients. The two options for pacemaker implantation for sinus node dysfunction after the Fontan operation are epicardial lead placement, which allows for dual-chamber pacing, or transvenous atrial pacing. We report the first successful implantation of an endocardial atrial lead for sinus node dysfunction in a patient with an extracardiac lateral tunnel Fontan.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Electrodes, Implanted
  • Endocardium
  • Female
  • Fontan Procedure* / methods
  • Heart Atria
  • Humans
  • Pacemaker, Artificial*
  • Pericardium / transplantation*
  • Postoperative Complications / therapy*
  • Sick Sinus Syndrome / therapy*