Pacing in right ventricular dysplasia after disconnection surgery

Pacing in Right Ventricular Dysplasia. This report describes a 33-year-old patient with arrhythmogenic right ventricular (RV) dysplasia who had a dual chamber pacemaker implanted at age 23 years for drug-induced bradycardia, Pacing was continued after right ventricular free-wall disconnection (RVFWD ) at age 24 years. Her pacemaker was not replaced after battery depletion 7 years later. She presented the following year in severe right-sided heart failure. Her old pacemaker generator was replaced. This was followed by rap id resolution of her clinical failure and return to a full, active, physica l lifestyle. This observation suggests the potential benefit of dual chambe r pacing in patients with RV dysplasia after RVFWD.