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Korean J Med > Volume 88(3); 2015 > Article
The Korean Journal of Medicine 2015;88(3): 299-302.
심장 외 인공도관 폰탄 순환을 가진 환자의 인공 심박동기 삽입 증례
전경현1, 엄재선1, 이상은1, 서지원1, 양필성1, 최정호1, 김남균2
1연세대학교 의과대학 내과학교실
2연세대학교 의과대학 소아과학교실
Transvenous Implantation of a DDDR Pacemaker in a Patient with Extracardiac Conduit Fontan Circulation
Kyeong-Hyeon Chun1, Jae-Sun Uhm1, Sang-Eun Lee1, Jiwon Seo1, Pil-Sung Yang1, Jung-Ho Choi1, Nam Kyun Kim2
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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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
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