Case report

DOI: http://doi.org/10.31928/2305-3127-2018.4.4246 

Experience of implantation of the left ventricular electrode by means of interventricular septum puncture for resynchronization therapy in a patient with heart failure

B.B. Kravchuk ¹, Yu.І. Karpenko ², M.M. Petkanych ¹, O.Z. Paratsii ¹, A.V. Yakushev ¹, R.G. Malyarchuk ¹, V.V. Shapovalova ², M.M. Sichik ¹

¹ M.M. Amosov National Institute of Cardiovascular Surgery of NAMS of Ukraine, Kyiv, Ukraine
² Odesa National Medical University, Ukraine

The clinical case of implantation of the left ventricular electrode for resynchronization therapy through a puncture of the interventricular septum with fixation in the cavity of the left ventricle is presented. Due to unsuccessful attempts to introduce an electrode for stimulation of the left ventricle at the stage of cannulation of the coronary sinus, this technique is used as an alternative. The necessity of continuous administration of warfarin against the background of the prosthetic mechanical aortic valve provided adequate hypocoagulation and absence of clinical signs of thrombosis during the three-month follow-up period in the postoperative period. The use of a puncture of the interventricular septum for implantation of the left ventricular electrode is a safe and effective alternative in patients with complicated or impossible surgical access to the venous system of the heart.

Key words: resynchronization therapy, left ventricular stimulation.