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An implantable cardioverter defibrillator in a patient with triple mechanical valves.

Alex W X TanKah L HoChi K ChingKelvin C M Chua
Published in: Clinical case reports (2018)
A patient with permanent atrial fibrillation, triple mechanical prosthetic valve replacements, and nonischemic cardiomyopathy presented with symptomatic high-grade atrioventricular block. A transvenous implantable cardioverter-defibrillator system was achieved with the defibrillator lead and bipolar pace-sense lead in separate anterolateral branches of the coronary sinus with successful defibrillation testing.
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