Thinking inside the box: Custom pacemaker improves device longevity in a congenital heart patient

Lisa Von Wald, Rachel Brucker, Stéphane Salerno, Andrew Ries, Henri Roukoz

Research output: Contribution to journalArticlepeer-review


Patients with congenital heart disease have unique pacing challenges and often require epicardial systems. High pacing threshold is one of the major factors that decrease these systems' durability. Sometimes surgical reintervention or lead replacement is difficult or prohibitive in these patients due to repeated surgeries and extensive epicardial scar. We present a case report of a patient with Fontan physiology and chronically high epicardial lead pacing thresholds requiring frequent generator changes and a unique solution focusing on improving generator longevity.

Original languageEnglish (US)
Pages (from-to)2213-2215
Number of pages3
JournalJournal of cardiovascular electrophysiology
Issue number8
StatePublished - Aug 1 2020

Bibliographical note

Publisher Copyright:
© 2020 Wiley Periodicals LLC


  • congenital heart disease
  • custom device
  • epicardial leads, fontan
  • pacemaker

PubMed: MeSH publication types

  • Case Reports

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