Pacing Options In The Adult Patient With Congenital Heart Disease

Finally, a pacing book dedicated to the adult patient with CHD. Drawing on their vast experience, Drs. Mond and Karpawich join forces to show you what to do, how to do it, and what to avoid.



Building on more than 60 years of device therapy Pacing Options in the Adult Patient with Congenital Heart Disease leads you through the many congenital heart defects now seen in adults. This essential resource:





Describes the various anatomical characteristics of repaired and non-repaired congenital heart defects and compares these with the normal anatomy, allowing you to easily identify the differences

Guides you through the implant techniques, highlighting the specific problems that might be encountered and providing proven techniques to overcome technically difficult anatomical variations in patients with and without congenital heart disease


Throughout the book, schematic diagrams of the diverse anatomy of the congenital heart support the textual descriptions, and x-rays and fluoroscopic images illustrate the physiology and maximize understanding.

Harry Mond Associate Professor of Medicine Monash University Melbourne. Private Consulting Rooms, The Royal Melbourne Hospital,PO 3050 Victoria Australia. And Physician to the Pacemaker Clinic and Cardiologist, The Royal Melbourne Hospital Australia.





Pacemaker implanter >35 years.

Coordinator of the World Survey on Cardiac Pacemakers and ICDs.

>200 manuscripts. Most first author or the major contributor

Author of ‘The cardiac pacemaker: Function and Malfunction’. 1983 Grune and Stratton. ISBN: 0-8089-1578-9

Author of ‘Rate Responsive Cardiac Pacing’ 1989 Published in Australia as a free publication distributed by Telectronics PTY LTD (a pacemaker company)

Associate Editor of PACE (Blackwell Futura)






Peter P. Karpawich, MD, FAAC, FAAP Professor, Pediatric Medicine, Wayne State University School of Medicine, Detroit, MI, USA And Director, Cardiac Electrophysiology and Pacemaker Services, Children’s Hospital of Michigan, Detroit. 3901 Beaubien Blvd, Detroit, MI 48201, USA





American Heart Association Committee on Congenital Heart Defects and Council Cardiovascular Disease of the Young, Pediatric Electrophysiology Society, Heart Rhythm Society

Pacemaker implanter >20 years

Publications > 180

Industry consultant for pacemaker lead design and application in congenital heart




Dr Karpawich is a renowned pediatric cardiologist from Detroit who has a primary interest in pacing. His major contribution to this book is to cover the congenital disorders.

"The book will be of interest to most device implanters as it does offer some useful tips that can be applied to conventional adult practice, in addition to explaining how to implant in patients with congenital heart disease." (Cardiology News, October - November 2007)
“This is a concise guide…that uses an easy to navigate format. It makes excellent use of tables, drawings, and clinical vignettes…” (Doody’s Review Service)

Part 1 Tricks of the trade.
1 Know the anatomy.
2 Transvenous pacemaker implantation.
3 The pulse generator or ICD pocket.
4 Epicardial or epimyocardial pacing.
5 Problems with right ventricular apical pacing.
6 What type of lead fixation device do I use?.
7 Consider steerable stylets or catheters.
8 Safety in numbers – the belt and braces technique.
9 Do old leads need extraction?.
10 Stenosed venous channels.
11 Use of the coronary venous system.
12 Consider growth in teenagers.
Part 2 Patients, principles and problems.
Section A No previous cardiac surgery: pacemaker/ICD required.
13 Congenital atrioventricular block.
14 Congenitally corrected L-transposition of the great vessels.
15 Congenital long QT syndromes.
Section B No previous cardiac surgery: pacemaker/ICD a challenge.
16 Atrial septal defects and patent foramen ovale.
17 Persistent left superior vena cava.
18 Dextrocardia.
19 Ebstein’s anomaly.
Section C Previous corrective or palliative cardiac surgery.
20 D-Transposition of the great vessels.
21 Septal defects including tetralogy of fallot.
22 Repaired Ebstein’s anomaly.
Section D No venous access to ventricle.
23 Univentricular heart.
Concluding remarks.
References.
Index