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Case Report
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Korean J Med. 2015;88(3):299-302. Published online March 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.3.299
- 심장 외 인공도관 폰탄 순환을 가진 환자의 인공 심박동기 삽입 증례
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전경현1, 엄재선1, 이상은1, 서지원1, 양필성1, 최정호1, 김남균2
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1연세대학교 의과대학 내과학교실
2연세대학교 의과대학 소아과학교실
- Transvenous Implantation of a DDDR Pacemaker in a Patient with Extracardiac Conduit Fontan Circulation
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Kyeong-Hyeon Chun1, Jae-Sun Uhm1, Sang-Eun Lee1, Jiwon Seo1, Pil-Sung Yang1, Jung-Ho Choi1, Nam Kyun Kim2
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1Departments of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
2Departments of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
- Corresponding author: Jae-Sun Uhm ,Tel: +82-2-2228-8441, Fax: +82-2-2227-7732, Email: jason@yuhs.ac
- Received: July 17, 2014; Revised: September 1, 2014 Accepted: September 3, 2014.
- 심장 외 인공도관 폰탄 술식을 시행한 선천성 심장병 환자에서 도관 천자를 통하여 정맥을 통한 인공 심박동기 삽입을 한 증례는 아직 보고된 바가 없다. 결론적으로 본 증례와 같이 심장 외 인공도관 폰탄 수술을 시행 받은 환자에서도 안전하고 효과적으로 정맥을 통해 인공 심박동기를 삽입하는 것이 가능하리라 생각된다.
߽ɾ :인공 심박동기; 동기능 부전 증후군; 폰탄 수술
- Abstract
- As the survival rate of patients with complex congenital heart disease has improved and the number of adult patients with congenital heart disease has risen, arrhythmias and heart failure have become important issues in these patients. Cardiac implantable electronic devices, including pacemakers, are also on the rise. Transvenous implantation or epicardial pacemaker implantation is challenging in patients with complex congenital heart disease. Here we report a case in which a dual-chamber pacing, dual-chamber sensing, dual response and rate-adaptive (DDDR) pacemaker was implanted transvenously into a patient with congenital heart disease. A 34-year-old male with extracardiac conduit Fontan circulation complained of dizziness; an electrocardiogram revealed junctional bradycardia. We performed transvenous implantation of a DDDR pacemaker via trans-conduit puncture. In conclusion, transvenous implantation of a pacemaker is feasible in patients with extracardiac conduit Fontan circulation.
Keywords :Cardiac pacemaker, artificial, Sick sinus syndrome, Fontan procedure
