Permanent left ventricular pacing from the great cardiac vein of a patient with artificial tricuspid and mitral valves - A case report

Batur M., Akgul E., Ovunc K.

ANGIOLOGY, vol.51, no.12, pp.1027-1030, 2000 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 51 Issue: 12
  • Publication Date: 2000
  • Doi Number: 10.1177/000331970005101208
  • Journal Name: ANGIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1027-1030
  • Hacettepe University Affiliated: No


Transvenous placement of a right ventricular pacemaker lead through the artificial tricuspid valve is a known contraindication, and in this situation, epicardial pacemaker implantation is the procedure of choice. However, permanent pacemaker implantation is a subject for debate when the use of the epicardial route is impossible. This report describes alternate transvenous routes for a pacemaker lead in a patient with an artificial tricuspid valve and mitral valve in whom the epicardial lead and pacemaker generator must be removed because of resistant infection.