Surgical Implantation of Endocardial Lead for Adult Congenital Atrioventricular Block Combined with Obstructed Bilateral Subclavian Vein

Eisaku Nakamura	Kouichiro Ochiai	Yukie Shirasaki
Hirohito Ishi	Koji Furukawa	George Endo
Kunihide Nakamura

（Division of Cardiovascular Surgery, Department of Surgery, University of Miyazaki＊, Miyazaki, Japan）

For A 38-year-old male diagnosed a congenital complete atrioventricular block in the neonatal period, epicardial lead and pacemaker was implanted through left thoracotomy. Although we tried to implant a pacemaker through the subclavian vein as an adult, it was unsuccessful because of obstruction of the bilateral subclavian vein. For this reason, we performed a pacemaker implantation with transatrial-endocardial lead through the right thoracotomy due to save the generator electric power. This is one of the useful techniques for cases with obstruction of the upper extremity vein.

 

Jpn. J. Cardiovasc. Surg. 46:114-118（2017）

Keywords：congenital complete atrioventricular block;pacemaker implantation;transthoracic transatrial approach;obstruction of bilateral subclavian vein