In this review, we discuss the ways in which the GIFT fusokines a

In this review, we discuss the ways in which the GIFT fusokines are able to alter the immune response, particularly in disease states, with a special emphasis on how these novel molecules may be translated into effective therapies in MRT67307 the clinical setting.”
“A reliable chromatographic method for the determination of soy isoflavones (genistein, daidzein and glycitein) using a coulometric detection has been developed and applied to analyse plasma of postmenopausal women The chromatographic separation was performed on a C18 reversed phase column with a mobile phase composed

of acetonitrile-phosphate buffer mixture. Coulometric detection was carried out at +0.500 V A careful this website and rapid solid phase extraction procedure on hydrophilic/lipophilic cartridges was chosen for plasma sample purification with and without hydrolysis obtaining good extraction yield values for all the analytes (>90 0%). The enzymatic hydrolysis step was necessary for the determination of the total amount of soy isoflavones The limit of quantitation was 05 ng mL(-1) for genistein and 025 ng mL(-1) for daidzein and glycitein. The method was found to be precise and accurate Thus, the proposed method is suitable for the analysis of soy isoflavones (free and total amounts)

in plasma of postmenopausal women under treatment with the SoymenGN (R) dietary supplement (C) 2010 Elsevier B.V All rights reserved”
“Background and Purpose-Based on thrombus location and nature and anatomic features of aorta and cerebral arteries, we hypothesized that cardiogenic embolisms (CE) and aortogenic embolisms

(AE) might have different right-left propensity and lesion patterns.\n\nMethods-We retrospectively reviewed patients with acute ischemic stroke with high-risk CE sources or moderate-or-severe aortic atherosclerotic plaques on transesophageal echocardiography. Lesion side and patterns on diffusion-weighted imaging were compared between CE and AE.\n\nResults-CE was identified in 123 and AE in 63. In multivariate analysis, right-sided lesions Pevonedistat and corticosubcortical infarcts were independently associated with CE, and left-sided lesions and pial infarcts were independently associated with AE.\n\nConclusions-CE and AE have different radiological characteristics, as shown by the right-left propensity and lesions patterns of cerebral infarcts. (Stroke. 2011;42:2323-2325.)”
“Objective: Between 31 and 35% of the college-aged population is overweight or obese, yet few weight loss trials for this population have been conducted. This study examined the feasibility, acceptability, and initial efficacy of a technology-based 8-week weight loss intervention among college students.

This study demonstrated that the C-terminus contains multiple fun

This study demonstrated that the C-terminus contains multiple functional domains with differential and interdependent roles in regulating Ste2p function in which the SIT residues located in each domain play critical roles. (C) 2011 Elsevier Ltd. All rights reserved.”
“Objectives: Most previous studies of job strain and cardiovascular risk have been limited to adult data. It remains unclear whether this association might be explained by factors already present before entering the labour market. This study examined whether pre-employment family factors and participants’ own dispositional factors contribute to the relationship

between job strain and carotid intima-media thickness (CIMT) among male employees.\n\nMethods: The sample consisted of 494 men from Selleck EPZ5676 the Cardiovascular Risk in Young Finns Study. Parental socioeconomic position and parental life dissatisfaction were assessed at 9-21 years of age and components of type A behaviour (Hunter-Wolf) were assessed at 12 24 years of age before the participants had entered the labour market. Job strain, education and CIMT were assessed at 27-39 years of age when all participants were employed.\n\nResults: There was an association between higher job strain and increased CIMT in adulthood

(mean 0.59 mm; 95% CI 0.42 to 0.76) which was only slightly affected on adjustment CH5183284 nmr for parental socioeconomic position and parental life dissatisfaction as well as participants’ education. However, the job strain/CIMT relationship attenuated by 17% to non-significant after taking into account the effect of the participants’ type A behaviour components.\n\nConclusions: In this contemporary

cohort of men, lack of leadership (a type A behaviour component) contributed to the association between job strain and CIMT 15 years later, whereas pre- employment family factors had only a modest effect on this association.”
“A simple multiresidue method based on matrix solid phase dispersion (MSPD) combined with clean-up has been developed for the simultaneous screening of 153 pesticides in honeybees suspected of suffering from pesticide poisoning during https://www.selleckchem.com/products/semaxanib-su5416.html field spraying. Extraction and clean-up were carried out in a glass column containing anhydrous sulphate, 2.0 g of octadecyl (C18) and a 2.0-g sample of bees (23 insects on average) macerated with 4.0 g of Florisil. An additional layer of anhydrous sodium sulphate was added, and acetonitrile was used as the elution solvent. This combination of clean-up steps ensured an efficient purification. A gas chromatograph with dual selective detectors for electron capture and nitrogenphosphorous was used. The results presented in this paper demonstrate that matrix solid-phase dispersion (MSPD) with the one-step clean-up procedure is the most effective extraction technique.

Bone strains over 1 5mm from the cup showed physiological values

Bone strains over 1.5mm from the cup showed physiological values and were not affected by the stiffness of the implant. Hence, this study shows that the physiological strain patterns are not obtained in the direct periprosthetic bone, regardless of the stiffness of the material.”
“In an effort to develop combination vaccines for biodefense, we evaluated a ricin subunit antigen, RiVax, given in conjunction with an anthrax protective antigen, DNI. The combination led to high endpoint titer antibody SYN-117 chemical structure response, neutralizing antibodies, and protective immunity against ricin and anthrax lethal toxin. This is a natural

combination vaccine, since both antigens are recombinant subunit proteins that would be given to the same target population. (C) 2014 Elsevier Ltd. All rights reserved.”
“The synthesis of a triple tritiated isotopologue of the CRTh2 antagonist NVP-QAW039 (fevipiprant) with a specific activity bigger than 3 TBq/mmol is described. Key to the high specific activity is the methylation of a bench-stable Dactolisib price dimeric disulfide

precursor that is in situ reduced to the corresponding thiol monomer and methylated with [H-3(3)]MeONos having per se a high specific activity. The high specific activity of the tritiated active pharmaceutical ingredient obtained by a build-up approach is discussed in the light of the specific activity usually to be expected if hydrogen tritium exchange methods were applied.”
“Doxorubicin is an important component

of combination therapy for muscle-invasive urinary bladder bladder cancer. Treatment with this topoisomerase II poison is able to interfere with cell cycle progression and lead to cancer cell death. Using FACS analysis, Western immunoblotting and semi-quantitative RT-PCR, we studied the effects of doxorubicin on cell cycle progression and apoptosis, and also explored the possibility of using groups of genes as biornarkers of prognosis and/or response to doxorubicin treatment in human urinary bladder cancer cells. Doxorubicin induced close-dependent G2/M and/or G1/S cell cycle arrest, followed by grade- and dose-dependent reduction in the AG-014699 DNA Damage inhibitor amount of the cytosolic trimeric form of FasL, activation of Caspase-8, Caspase-9, Caspase-3, cleavage of PARP, Lamin A/C, Bcl-X(L/s) and interestingly Hsp90, and finally cell death. Data presented here also Suggest the use of the expression patterns of Cyclin-E2, Cyclin-F, p63, p73, FasL, TRAIL, Tiveak, Tweak-R, XAF-1, OPG and Bok genes for identification of the differentiation grade, and Cyclin-B2, GADD45A, p73, FasL, Bik, Biln TRAIL, Fas, Tweak-R, XAF-1, Bcl-2, Survivin, OPG, DcR2 and Bcl-X(L) genes for the detection of response to doxorubicin in human bladder cancer cells.”
“Objectives The purpose of this study was to assess the safety and efficacy of left atrial appendage (LAA) closure in nonvalvular atrial fibrillation (AF) patients ineligible for warfarin therapy.

S forests

S. forests. SYN-117 mouse Temporal heterogeneity was apparent because species whose observed abundances have increased over recent decades tended to be the same species for which predicted abundance (derived from individual-level growth and mortality rates estimated from the recent decades of inventory data) were greater than observed abundance. Spatial heterogeneity was apparent because species had more competitive parameter estimates (higher growth and/or lower mortality) on inventory plots where they are most abundant, relative to other plots in the same forest type. Spatial

and temporal heterogeneity both contributed to mismatches between predicted dynamics and chronosequence observations. Predictions of canopy structure (proportion of individuals in the upper canopy vs. Dactolisib manufacturer the understory) were well-matched to inventory data, suggesting that the PPA’s

simple space-filling algorithm was not an important source of error in predicting forest dynamics. (c) 2014 Elsevier B.V. All rights reserved.”
“In this paper, we investigated the growth of GaN pn-junction layers on silicon (111) by plasma assisted molecular beam epitaxy (PA-MBE) system and the effect of thermal annealing of Ni/Ag contacts on the sample for photodetector applications. Si and Mg were used as n- and p-dopants, respectively. The reflection high energy electron diffraction images indicated a good surface morphology of GaN pn-junction layer. The full width at half maximum (FWHM) obtained from XRD measurement was 0.34 degrees, indicating a good quality layer of sample. The pn-junctions sample has a good optical quality which is reflected by the photoluminescence system measurement. The structural evolution and temperature dependence of the current AG-014699 purchase of Ni/Ag contacts on GaN pn-junction at various annealing were investigated by scanning electron microscopy (SEM) and current-voltage (I-V) measurements. The temperature dependence of the current may be attributed to changes of the surface morphology of Ni/Ag films on the surface.

SEM results indicated the degradation of Ni/Ag contacts on GaN pn-junction above 800 degrees C. (C) 2013 Elsevier Ltd. All rights reserved.”
“The intricate relationship between angiogenesis and osteogenesis in vivo must be replicated in bone tissue engineering constructs to ensure the formation of a functional vascular network to support successful bone formation. Although communication between bone marrow stromal cells (MSC) and endothelial cells (EC) is recognized as one of the most important cellular interactions in bone regeneration, the underlying mechanisms of this biological process are not well understood. The purpose of this study was to analyze global gene expression associated with intercellular communication between MSC and EC using HumanWG-6 v3.0 expression BeadChips with a one-channel platform system (Illumina, San Diego, CA, USA). Each array contains more than 48,000 probes derived from human genes.

01) Patients undergoing reoperative myotomy note improvement in

01). Patients undergoing reoperative myotomy note improvement in symptoms, although to a lesser extent than patients undergoing their first myotomy. Patients undergoing reoperative Heller myotomy can expect to experience less improvement of symptoms, denoting the importance of the first myotomy.”
“Homocitrate synthase (acetyl-coenzyme A: 2-ketoglutarate C-transferase; E.C. 2.3.3.14) (HCS) catalyzes the condensation of acetyl-CoA (AcCoA) and alpha-ketoglutarate (alpha-KG) to give homocitrate and CoA. Although the structure of an HCS has not been solved, the structure of isopropylmalate synthase (IPMS), Staurosporine clinical trial a homologue, has been solved (Koon, N., Squire, C.

J., and Baker, E. N. (2004) Proc. Natl. Acad. Sci. U.S.A. 101, 8295-8300). Three active site residues in IPMS, Glu-218, His-379, and Tyr-410,

were proposed as candidates for catalytic residues involved in deprotonation of the methyl group of AcCoA prior to the Claisen condensation to give homocitrylCoA. All three of the active site residues in IPMS are conserved in the HCS from Saccharomyces cerevisiae. Site-directed mutagenesis has been carried out to probe the role of the homologous residues, Glu-155, His-309, and Tyr-320, in the S. cerevisiae HCS. No detectable activity was observed for the H309A and H309N mutant enzyme, but a slight increase in activity was observed for H309A in the presence of 300 mM imidazole, which is still 1000-fold lower than Selleckchem ASP2215 that of wild type (wt). The E155Q and E155A mutant enzymes exhibited 1000-fold lower activity than wt. The activity of E155A, but not of E155Q, could be partially rescued by formate; a K-act of 60 mM with a modest 4-fold maximum activation was observed. In the presence of formate, E155A gives k(cat), K-AcCoA, and K alpha-KG values of 0.0031 s(-1), 13 mu M, and 39 mu M, respectively, while a primary kinetic deuterium selleck kinase inhibitor isotope effect of about 1.4 was obtained on V, with deuterium in the methyl of AcCoA. The pH dependence of k(cat) for E155A in the presence of formate

gave a pK(a) of 7.9 for a group that must be protonated for optimum activity, similar to that observed for the wt enzyme. However, a partial change was observed on the acid side of the profile, compared to the all or none change observed for wt giving a pKa of about 6.7. The k(cat) for E155Q decreased at high pH, similar to the wt enzyme, but was pH independent at low pH. The Y320F mutant enzyme only lost 25-fold activity compared to that of the wt, giving k(cat), K-AcCoA, and K alpha-KG values of 0.039 s(-1), 33 mu M, and 140 mu M, respectively, and a primary kinetic deuterium isotope effect of 1.3 and 1.8 on V/K-AcCoA and V, respectively; the pH dependence of k(cat) was similar to that of the wt.

All factors considered were significant for EC and SCC

\n\nAll factors considered were significant for EC and SCC.

EC decreased significantly as milking progressed (from F-1 to F-3) in both healthy and infected glands. EC was not significantly different between healthy and infected glands in F-1 and F-2 fractions, but EC of healthy glands (5.01 mS/cm) was significantly lower than in infected glands (5.03 mS/cm) at F-3.\n\nMastitis detection characteristics of EC did not differ amongst studied fractions. The small significant difference of EC between healthy and infected glands obtained in F-3 fraction did not yield better sensitivity results compared to F-1 and F-2. The best EC mastitis detection characteristics were obtained at 5.20 mS/cm threshold NSC23766 mw (sensitivity of 70% and specificity of 50%). The best SCC mastitis detection characteristics were obtained at 300,000 cells/mL threshold and F-3 fraction (sensitivity of 85%

and specificity of 65%).\n\nIt was concluded that mastitis detection characteristics of EC were similar in the three milking fractions analysed, being slightly better selleck compound for SCC in F-3 fraction. As shown in previous studies, there are no factors other than the mammary gland health status that affect milk EC and should be considered in the algorithms for mastitis detection to improve the results. (C) 2012 Elsevier B.V. All rights reserved.”
“BackgroundThe purpose of this study was to present the clinicopathological features of a series of patients with human papillomavirus (HPV)-associated head and neck second primary tumors. MethodsPatients with HPV-associated head and neck second primary tumors from

3 centers were identified. HPV infection was evaluated using p16 by immunohistochemistry JIB-04 (IHC), high-risk HPV DNA by in situ hybridization (ISH), and HPV genotyping by DNA polymerase chain reaction (PCR) enzyme immunoassay (EIA). ResultsEleven patients were identified: 5 with synchronous and 6 with metachronous HPV-positive second primary tumors, the latter demonstrating a mean time interval of 5 years. There were 13 second primary tumors: 11 oropharyngeal, 1 nasopharyngeal, and 1 floor of the mouth. Nine of 10 genotyped patients harbored HPV-16, and 1 patient had HPV-33 in 3 synchronous tumors. ConclusionHPV-associated second primary tumors may present as synchronous and/or metachronous lesions and can arise outside the oropharynx after prolonged intervals. Further work is necessary to identify patients at risk and to elucidate the mechanisms of HPV-associated head and neck second primary tumors. (c) 2014 Wiley Periodicals, Inc. Head Neck37: 202-208, 2015″
“Aims: To evaluate the usefulness of partial recA sequences for the identification of Aeromonas strains at the genotype level.\n\nMethods and Results: A partial recA sequence was obtained from 21 type or reference strains and 33 Aeromonas isolates, collected in the South of Switzerland from human, animal and aquatic environments.

Conclusions: Edoxaban demonstrated significant dose-dependent red

Conclusions: Edoxaban demonstrated significant dose-dependent reductions in VTE in patients undergoing TKA with a bleeding incidence similar to placebo. [This trial is registered with JAPIC, JapicCTI-060283 (ja).].”
“There are deep analogies between the melting dynamics in systems with a first-order phase transition and the dynamics from equilibrium in super-cooled liquids. For a class of Ising spin models undergoing Go 6983 a first-order transition-namely p-spin models on the so-called Nishimori line-it can be shown that the melting dynamics can be exactly mapped to the equilibrium dynamics. In this mapping the

dynamical-or mode-coupling-glass transition corresponds to the spinodal point, while the Kauzmann transition corresponds to the first-order phase transition itself. Both in mean field and finite dimensional models this mapping provides an exact realization of the random first-order theory scenario for the glass transition. The corresponding glassy phenomenology can then be understood in the framework of a standard first-order phase transition. (C) 2011 American Institute of Physics. [doi:10.1063/1.3506843]“
“The lateral spikelets of two-rowed barley are reduced in size and sterile, but in six-rowed barley all three spikelets are fully fertile. The

trait is largely controlled by alleles at the vrs1 locus on chromosome arm 2HL, as modified by the allele present at the I locus on Entinostat chemical structure chromosome arm 4HS. ARS-1620 price Molecular markers were developed to saturate the 4HS region by exploiting expressed sequence-tags, either previously mapped in barley to this region, or

present in the syntenic region of rice chromosome 3. Collinearity between rice and barley was strong in the 4.8 cM interval BJ468164-AV933435 and the 10 cM interval AV942364-BJ455560. A major QTL for lateral spikelet fertility (the I locus) explained 44% of phenotypic variance, and was located in the interval CB873567-BJ473916. The genotyping of near-isogenic lines for I placed the locus in a region between CB873567 and EBmac635, and therefore the most likely position of the I locus was proximal to CB873567 in a 5.3 cM interval between CB873567-BJ473916.”
“Changes in lipid class, fatty acid, fat-soluble vitamins, amino acid and minerals were studied during larval development of Maja brachydactyla Balss, 1922 in order to provide information of its ontogeny and evaluate possible dietary deficiencies and constraints. Four different batches were analyzed from hatching to metamorphosis using enriched Artemia as food. Cultured larvae were in a good nutritional condition as confirmed by the continuous lipid accumulation throughout ontogeny. A regulation of polyunsaturated fatty acids (PUFA) occurred during development in order to maintain adequate basal levels of omega-3 fatty acids (likely through a retro conversion of C(20) and C(22) into C(18) PUFA).

RESULTS: Maximum amplitude (MA) was lower compared to baselin

\n\nRESULTS: Maximum amplitude (MA) was lower compared to baseline values in both groups after 50% dilution with normal saline (P < .001) and remained lower than baseline despite reconstitution with 3:1:0

or 1:1:0 PRBC:FFP:PLT (P < .0001) or 3:1:1 PRBC:FFP:PLT (P < .01). MA approached baseline (P = not significant) in the samples with 1:1:1 PRBC:FFP:PLT.\n\nCONCLUSION: The addition of PLT to 1:1 PRBC:FFP optimized MA in this in vitro hemodilutional model of postpartum hemorrhage.”
“It remains unclear whether brain structural abnormalities observed before the onset of psychosis are specific to schizophrenia or are common to all psychotic disorders. This study aimed to measure regional gray matter volume prior to the onset of schizophreniform and of affective psychoses. We investigated 102 subjects at ultrahigh risk (UHR) of developing psychosis recruited from the Personal Assessment and Crisis Evaluation Clinic in Melbourne, Australia. GSK1838705A purchase Twenty-eight of these subjects developed psychosis subsequent to scanning: 19 schizophrenia, 7 affective psychoses, and 2 other psychoses. We examined regional gray matter volume using 1.5 mm thick, coronal, 1.5 Tesla magnetic resonance imaging and voxel-based morphometry methods of image analysis. Subjects were scanned at presentation and were followed up clinically for a minimum of 12 5-Fluoracil ic50 months, to detect later

transition to psychosis. We found that both groups of subjects who subsequently developed psychosis (schizophrenia and affective psychosis) showed reductions in the frontal cortex relative to UHR subjects who did not develop psychosis. The subgroup that subsequently developed schizophrenia also showed smaller volumes in the parietal cortex and, at trend level, in the temporal cortex, whereas those who developed an affective psychosis had significantly smaller subgenual cingulate volumes. These preliminary findings suggest that volumetric abnormalities in UHR individuals developing schizophrenia

vs affective psychoses comprise a combination of features that predate both disorders and AZD9291 nmr others that may be specific to the nature of the subsequent disorder.”
“Objective: To determine whether arterial elasticity differs between obese adolescents with clinical insulin resistance (IR), type 1 diabetes (T1D) and healthy non-obese controls. Methods: This cross-sectional study evaluated 69 adolescents with clinical IR, 91 with T1D and 63 age-matched (10- to 18-year-old) controls. Arterial elasticity was measured using radial tonometry pulse-wave analysis. Stepwise multiple regression analyses were performed to assess the determinants of the small and large arterial elasticity indices (SAEI and LAEI). Results: SAEI and LAEI raw values were higher in the IR group than the controls, and these did not differ between the T1D and control groups. Weight and diastolic blood pressure (DBP) were significant predictors of SAEI.

(Endocrinology 151: 3836-3846, 2010)”
“The present study exa

(Endocrinology 151: 3836-3846, 2010)”
“The present study examined the adverse effects of delta-9-tetrahydrocannabinol (i.p injection in albino mice) on free radical damage of testicular

lipids (lipid peroxidation) at low doses and the role of antioxidant enzymes defense system at high dose and particularly at the withdrawal of the drug after applying higher dose (recovery dose). At lower doses (total doses ranging from 6 mg to 28 mg), there was a significant increase of lipid peroxidation and decrease in testicular lipid content. But the effects were slightly lowered at high dose (total dose 70 mg) and at the withdrawal of the drug (recovery dose). Similarly, marked decrease of antioxidant enzyme systems (superoxide dismutase, catalase, and glutathione peroxidase) and

selleck chemicals glutathione content were noticed at low doses. But the effects were slightly higher at high dose and at the withdrawal of the drug. Similarly, low-dose treatments caused significant shrinkage of tubular diameter and detrimental changes in seminiferous epithelium of testis resulting in lowered plasma testosterone and pituitary gonadotropins (follicular stimulating and luteinizing hormone levels. But at high dose and particularly at withdrawal of the drug, regression of seminiferous tubules and recovery of various germ cell layers of testes through the revival of testosterone hormone and pituitary gonadotropins QNZ were observed. (C) 2009 Elsevier B.V. All rights reserved.”
“The ketogenic diet is a high-fat, low-carbohydrate diet used to treat drug-resistant seizures, especially in children. A number of possible mechanisms of action have been proposed to explain the anticonvulsant effects of the diet.

Four of these hypothetical mechanisms are discussed in the present article: the pH hypothesis, the metabolic hypotheses, the amino acid hypothesis, and the ketone hypothesis.”
“In this study, using a mouse model, we tested the hypothesis that restraint stress would impair the developmental Linsitinib molecular weight potential of oocytes by causing oxidative stress and that antioxidant supplementation could overcome the adverse effect of stress-induced oxidative stress. Female mice were subjected to restraint stress for 24 h starting 24 h after equine chorionic gonadotropin injection. At the end of stress exposure, mice were either killed to recover oocytes for in vitro maturation (IVM) or injected with human chorionic gonadotropin and caged with male mice to observe in vivo development. The effect of antioxidants was tested in vitro by adding them to IVM medium or in vivo by maternal injection immediately before restraint stress exposure. Assays carried out to determine total oxidant and antioxidant status, oxidative stress index, and reactive oxygen species (ROS) and glutathione levels indicated that restraint stress increased oxidative stress in mouse serum, ovaries, and oocytes.

Three experienced radiologists visually assessed the image qualit

Three experienced radiologists visually assessed the image quality and they manually measured the stenotic severity.\n\nResults: Fewer measurement errors occurred with multisector reconstruction (p = 0.05), a slower HR (p < 0.001) and a larger luminal diameter (p = 0.014); measurement errors were not related with the observers or the stenotic severity. There was no significant difference in measurements as for the reconstruction

algorithms below an HR of 70 bpm. More nonassessable segments Selleckchem Nepicastat were visualized with halfscan reconstruction (p = 0.004) and higher HRs (p < 0.001). Halfscan reconstruction had better quality scores when the HR was below 60 bpm, while multisector reconstruction had better quality scores when the HR was above 90 bpm. For the H PIS between 60 and 90 bpm, Cyclosporin A both reconstruction modes had similar quality scores. With excluding the nonassessable segments, both reconstruction algorithms achieved a similar mean measured stenotic severity and similar

standard deviations.\n\nConclusion: At a higher HR (above 90 bpm), multisector reconstruction had better temporal resolution, fewer nonassessable segments, better quality scores better accuracy of measuring the stenotic severity in this phantom study.”
“Transpulmonary Atrial Pacing. Introduction: Patients with prior extracardiac (EC) conduit Fontan surgery are considered ineligible for transvenous atrial pacemaker implantation due to lack of venous access to the atrial myocardium. A new technique for atrial lead placement in the setting of this surgical anatomy is proposed. Methods and Results: A 30-year-old female with prior EC Fontan surgery, incessant

supraventricular Geneticin tachycardia, sinus node dysfunction, and multi-organ failure was admitted to our hospital. After placement of a transvenous lead in the left pulmonary artery (LPA) for temporary pacing with ensuing clinical improvement, the patient was taken back to the catheterization laboratory for definitive treatment. After ablation of the supraventricular tachycardia and 3D mapping of the common atrium, a puncture through the LPA and into the left-sided atrium was performed. A transvenous lead was then attached to the base of the left-sided appendage where excellent pacing and sensing characteristics were observed. Follow-up transesophageal echocardiography revealed stable lead placement and absence of pericardial effusion. The patient was discharged to home several days later on warfarin therapy. Conclusions: Transpulmonary access to the left-sided atrium for patients with prior EC Fontan surgery is a feasible strategy for transvenous atrial pacing. Lead placement in this location is associated with excellent pacing characteristics and involves a limited segment of lead within the pulmonary venous atrium. The approach is technically straightforward and avoids the need for surgical pacemaker placement.