Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker

Complete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reductio...

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Autores principales: Hirsch, Joshua R., Broda, Christopher R., Ermis, Peter R., Lam, Wilson W., Opina, Angeline D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Congenital Heart Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8310934/
https://www.ncbi.nlm.nih.gov/pubmed/34317500
http://dx.doi.org/10.1016/j.jaccas.2020.10.019
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author Hirsch, Joshua R.
Broda, Christopher R.
Ermis, Peter R.
Lam, Wilson W.
Opina, Angeline D.
author_facet Hirsch, Joshua R.
Broda, Christopher R.
Ermis, Peter R.
Lam, Wilson W.
Opina, Angeline D.
author_sort Hirsch, Joshua R.
collection PubMed
description Complete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reduction in such patients requiring endocardial pacing remains questionable. (Level of Difficulty: Advanced.)
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spelling pubmed-83109342021-07-26 Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker Hirsch, Joshua R. Broda, Christopher R. Ermis, Peter R. Lam, Wilson W. Opina, Angeline D. JACC Case Rep Mini-Focus Issue: Congenital Heart Disease Complete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reduction in such patients requiring endocardial pacing remains questionable. (Level of Difficulty: Advanced.) Elsevier 2021-01-06 /pmc/articles/PMC8310934/ /pubmed/34317500 http://dx.doi.org/10.1016/j.jaccas.2020.10.019 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Mini-Focus Issue: Congenital Heart Disease
Hirsch, Joshua R.
Broda, Christopher R.
Ermis, Peter R.
Lam, Wilson W.
Opina, Angeline D.
Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker
title Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker
title_full Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker
title_fullStr Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker
title_full_unstemmed Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker
title_short Heart Block in Unpalliated Complex Adult Congenital Heart Disease: Massive Collateral Burden Precludes Epicardial Pacemaker
title_sort heart block in unpalliated complex adult congenital heart disease: massive collateral burden precludes epicardial pacemaker
topic Mini-Focus Issue: Congenital Heart Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8310934/
https://www.ncbi.nlm.nih.gov/pubmed/34317500
http://dx.doi.org/10.1016/j.jaccas.2020.10.019
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