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Year : 2011  |  Volume : 3  |  Issue : 2  |  Page : 70-73

Cardiac magnetic resonance imaging utilization for optimal pacemaker placement in stented baffle in transposition of great arteries

Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA

Correspondence Address:
Mahmoud Houmsse
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1947-489X.210874

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In dextro-transposition of great arteries (d-TGA), especially in an adult who has undergone both Mustard operation and superior vena cava (SVC) baffle stenting, permanent pacemaker lead placement can prove to be challenging. Magnetic Resonance Imaging (MRI) can be utilized for procedural planning and locating optimal anatomical sites for lead placement. In this report, we demonstrate dualchamber permanent pacemaker (PPM) lead placement through a stented SVC baffle to the left atrium (LA) and left ventricle (LV). This was done after an MRI demonstrated stent patency and anatomical locations within the LA for potential pacing. Knowledge of SVC patency and less-thanoptimal anatomy of adults with congenital heart defects are imperative in PPM.

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