Transvenous pacing through the pulmonary valve in a patient with cyanotic congenital heart disease after Glenn shunt - A case report

Srinivas Bhyravavajhala; Bharathi Vanaparty; Sreekanth Yerram

doi:10.1016/j.ipej.2020.12.003

Transvenous pacing through the pulmonary valve in a patient with cyanotic congenital heart disease after Glenn shunt - A case report

Indian Pacing Electrophysiol J. 2021 Mar-Apr;21(2):132-136. doi: 10.1016/j.ipej.2020.12.003. Epub 2021 Jan 9.

Authors

Srinivas Bhyravavajhala¹, Bharathi Vanaparty¹, Sreekanth Yerram²

Affiliations

¹ Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, India.
² Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, India. Electronic address: sreeyerram@gmail.com.

Abstract

Bradyarrhythmia requiring pacing is infrequently encountered in patients with complex cyanotic congenital heart disease. Even though epicardial pacing is the preferred mode, rarely, a need for endocardial lead implantation arises. Patients with cavopulmonary shunts limit access to the venous atria and ventricles, necessitating alternate methods of pacemaker implantation. We report transvenous endocardial lead implantation by an unconventional method in a patient with congenitally corrected transposition of great arteries after a bidirectional Glenn shunt.

Keywords: Atrioventricular block; Bidirectional Glenn shunt; Case report; Congenitally corrected transposition of the great arteries; Pulmonary valve.

Publication types

Case Reports