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Left Ventricle only single lead pacing in a patient with a tricuspid mechanical valve and a previous coronary sinus malfunctioning lead
  • Andre Grazina,
  • Pedro Silva Cunha,
  • Mário Oliveira
Andre Grazina
Hospital de Santa Marta

Corresponding Author:grazina.andre@gmail.com

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Pedro Silva Cunha
Hospital de Santa Marta
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Mário Oliveira
Hospital de Santa Marta
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Abstract

Prosthetic tricuspid valves make permanent pacing challenging. We describe a case of a patient with several previous heart surgeries with a mechanical tricuspid valve and a previous malfunctioning left ventricle lead and recurrent syncope. A quadripolar lead was placed in the coronary sinus, using a specific left ventricle sensing algorithm.