Demir, Ahmet DuranSen, NihatErbay, Ali RizaAtak, Ramazan2024-09-182024-09-1820111016-5169https://doi.org/10.5543/tkda.2011.01322https://hdl.handle.net/20.500.12483/8562Implantation of a transvenous endocardial pacemaker is contraindicated in patients with a mechanical tricuspid valve. An epicardial left ventricular pacemaker lead was placed by a transvenous route through the coronary sinus into the lateral cardiac vein in a 58-year-old woman with mechanical aortic, mitral, and tricuspid valves, for permanent pacing due to chronic atrial fibrillation with a slow ventricular rate accompanied by syncope. This lead was then connected to a singlechamber pacemaker. The patient had no problem in the following three months. Placement of an epicardial pacing lead through the coronary sinus provides a safe and effective pacing in patients with a mechanical tricuspid valve, thus obviating major cardiac surgery.trinfo:eu-repo/semantics/closedAccessCardiac pacingartificial/methodscoronary sinuselectrodesimplantedtricuspid valve/surgeryAn effective and safe alternative to epicardial pacemaker placement for permanent pacemaker implantation in a patient with mechanical tricuspid valve: stimulation of the left ventricle through the coronary sinusArticle39324424710.5543/tkda.2011.01322215323042-s2.0-79959967449Q3WOS:000421527100012N/A