An implantable cardioverter defibrillator in a patient with triple mechanical valves

Key Clinical Message A patient with permanent atrial fibrillation, triple mechanical prosthetic valve replacements, and nonischemic cardiomyopathy presented with symptomatic high‐grade atrioventricular block. A transvenous implantable cardioverter‐defibrillator system was achieved with the defibrill...

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Bibliographic Details
Published in:Clinical case reports 2018-09, Vol.6 (9), p.1795-1800
Main Authors: Tan, Alex W. X., Ho, Kah L., Ching, Chi K., Chua, Kelvin C. M.
Format: Article
Language:English
Subjects:
cardiovascular disorders
Case Report
Case Reports
complete heart block
Defibrillators
Electrocardiography
implantable cardioverter‐defibrillator lead implantation in the coronary sinus
triple mechanical valves
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Summary:Key Clinical Message A patient with permanent atrial fibrillation, triple mechanical prosthetic valve replacements, and nonischemic cardiomyopathy presented with symptomatic high‐grade atrioventricular block. A transvenous implantable cardioverter‐defibrillator system was achieved with the defibrillator lead and bipolar pace‐sense lead in separate anterolateral branches of the coronary sinus with successful defibrillation testing. A patient with permanent atrial fibrillation, triple mechanical prosthetic valve replacements, and nonischemic cardiomyopathy presented with symptomatic high‐grade atrioventricular block. A transvenous implantable cardioverter‐defibrillator system was achieved with the defibrillator lead and bipolar pace‐sense lead in separate anterolateral branches of the coronary sinus with successful defibrillation testing.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.1721