Utility of the NavX® Electroanatomic Mapping System for Permanent Pacemaker Implantation in a Pregnant Patient with Chagas Disease

• Main Authors: Alejandro Velasco, MD, Victor Manuel Velasco, MD, Fernando Rosas, MD, Cihan Cevik, MD, Carlos A. Morillo, MD, FRCPC, FACC, FHRS, FESC
• Format: Article
• Language: English
• Published: Elsevier 2013-01-01
• Series: Indian Pacing and Electrophysiology Journal
• Subjects: Chagas disease; Heart Block; Pregnancy; Electroanatomic Navigation; Permanent Cardiac Pacemaker; Non-fluoroscopic imaging
• Online Access: http://www.sciencedirect.com/science/article/pii/S0972629216305861

Chagas disease is a highly prevalent zoonosis in Mexico, Central, and South America. Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age. We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker. Using an electroanatomic navigation EnSite NavX® system the pacemaker was successfully implanted with minimal fluoroscopic exposure. This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.