Implantasi Pacu Jantung Permanen Melalui Vena Kava Superior Kiri Persisten
Abstract
Seorang anak perempuan, 5 tahun mengalami blok AV total pasca operasi VSD perimembranous besar sehingga direncanakan pemasangan pacu jantung permanen. Pada saat punksi vena subklavia kanan wire peelaway sheath tidak dapat masuk ke atrium kanan.Injeksi kontras melalui abocath memperlihatkan oklusi vena cava superior kemungkinan oleh thrombus yang terorganisasi. Samar-samar terlihat kontras mengisi vena kana superior kiri persisten melalui kolateral dari vena kava superior kanan (Gambar 1). Maka diputuskan untuk melakukan pemasangan pacu jantung menetap (PJM) melalui vena subklavia kiri ke alur keluar ventrikel kanan (RVOT= right ventricle outflow tract) melalui vena kava superior kiri persisten.
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References
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Biffi M, Boriani G, Frabetti L, Bronzetti G, Branzi A. Left su-perior vena cava persistence in patients undergoing pacemaker or cardioverter-defibrillator implantation: a 10-year experience. Chest. 2001;120(1):139-144.
Nezafati MH, Abbasi M, Soltani G, Zirak. Early Postoperative Arrhythmia after Cardiac Surgery for Congenital Heart Diseases. Iranian Heart J. 2008;9(3):53-58.
Batra AS, Wells WJ, Hinoki KW, Stanton RA, Silka MJ. Late recovery of atrioventricular conduction after pacemaker implantation for complete heart block associated with surgery for congenital heart disease. J Thorac Cardiovasc Surg. 2003;125(6):1291-1293.
Edwin F, Aniteye E, Tettey M, Sereboe L, Kotei D, Tamatey M, Entsua-Mensah K, Frimpong-Boateng K. Permanent complete heart block following surgical correction of congenital heart disease. Ghana Med J.44(3):109-114.
Chun T. Pacemaker and defibrillator therapy in pediatrics and congenital heart disease. Future Cardiol. 2008;4(5):469-479.
Biffi M, Boriani G, Frabetti L, Bronzetti G, Branzi A. Left su-perior vena cava persistence in patients undergoing pacemaker or cardioverter-defibrillator implantation: a 10-year experience. Chest. 2001;120(1):139-144.
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How to Cite
Yuniadi, Y. (1). Implantasi Pacu Jantung Permanen Melalui Vena Kava Superior Kiri Persisten. Indonesian Journal of Cardiology, 32(1), 42-44. https://doi.org/10.30701/ijc.v32i1.121
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