삼첨판 교체술을 받은 환자에서 경정맥 삽입형 제세동기의 삽입
Transvenous Implantation of an Implantable Cardioverter Defibrillator in a Patient Who Had Undergone Tricuspid Valve Replacement
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초록
삼첨판막 위치에 인공판막을 가지고 있는 환자에서 삽입형 제세동기의 경정맥 삽입은 인공판막을 통해 우심실 첨부로 전극선을 삽입할 수 없기 때문에 어렵다. 이러한 환자에서 삽입형 제세동기를 삽입할 수 있는 방법은 세 가지가 있다. 심외막 삽입, 피하용 제세동기 삽입 그리고 심장 정맥으로의 삽입이 그것이다. 본 증례에서 저자들은 삼첨판막 교체술을 받은 환자에서 경정맥으로 삽입형 제세동기를 삽입하여 보고하는 바이다. 환자는 70세 여자로 삼첨판막 교체술을시행받았고 두 차례의 갑작스런 심정지를 경험하였다. 저자들은 중간 심장 정맥(middle cardiac vein)으로 제세동 전극선을 넣어 성공적으로 경정맥 삽입형 제세동기를 삽입하였다.
Abstract
Transvenous implantation of an implantable cardioverter defibrillator in patients with a prosthetic valve in the tricuspid position is difficult because a defibrillator lead cannot be implanted into the right ventricle through the prosthetic valve. Hence, there are three options: epicardial implantation, subcutaneous implantable cardioverter defibrillator implantation, and cardiac vein implantation. Here, we report the transvenous implantation of an implantable dual-chamber cardioverter defibrillator in a patient who had undergone tricuspid valve replacement with a prosthetic valve. The patient was a 70-year-old female with a prosthetic valve in the tricuspid position who had experienced two events of sudden cardiac arrest. We successfully performed the procedure by implanting the defibrillator lead into the middle cardiac vein.
참고문헌 (8)
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