Anthony C. McCanta, MD, FHRS, Gira S

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Presentation transcript:

Implantation of a leadless pacemaker in a pediatric patient with congenital heart disease Anthony C. McCanta, MD, FHRS, Gira S. Morchi, MD, Froilan Tuozo, NP, Farhouch Berdjis, MD, Joanne P. Starr, MD, Anjan S. Batra, MD, FHRS HeartRhythm Case Reports Volume 4, Issue 11, Pages 506-509 (November 2018) DOI: 10.1016/j.hrcr.2018.07.012 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 Leadless pacemaker implant final position. Biplane fluoroscopy of leadless pacemaker in the right ventricle with fractured atrial and ventricular epicardial leads, surgical clips, and sternal wires. The intracardiac echocardiogram catheter is seen in the right atrium advanced through the proprietary 23F delivery sheath from the right femoral venous approach. HeartRhythm Case Reports 2018 4, 506-509DOI: (10.1016/j.hrcr.2018.07.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 Biplane right ventriculogram showing heavily trabeculated right ventricle with right ventricle to pulmonary artery conduit extending from the mid-anterior right ventricle. HeartRhythm Case Reports 2018 4, 506-509DOI: (10.1016/j.hrcr.2018.07.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 Postimplant intracardiac echocardiogram showing the leadless pacemaker in an apical location inferior to the takeoff of the right ventricle to pulmonary artery conduit. HeartRhythm Case Reports 2018 4, 506-509DOI: (10.1016/j.hrcr.2018.07.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions