Cardiac Resynchronization Therapy: Long-Term Alternative to Cardiac Transplantation?

Hansky, Bert; Vogt, Jürgen; Zittermann, Armin; Güldner, Holger; Heintze, Johannes; Schulz, Uwe; Horstkotte, Dieter; Tenderich, Gero; Körfer, Reiner

doi:10.1016/j.athoracsur.2008.09.071

Cited by 10 publications

(2 citation statements)

References 38 publications

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“…Bert Hansky et al . demonstrate that CRT is a reliable therapeutic option for the long-term treatment of end-stage heart failure and LV asynchrony [13]. In many countries, cardiac transplantation is difficult because donors are particularly rare.…”

Section: Resultsmentioning

confidence: 99%

Effective cardiac resynchronization therapy for an adolescent patient with dilated cardiomyopathy seven years after mitral valve replacement and septal anterior ventricular exclusion

Mima

Baba

Yokoo

et al. 2010

J Cardiothorac Surg

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Cardiac resynchronization therapy (CRT) is a new treatment for refractory heart failure. However, most heart failure patients treated with CRT are middle-aged or old patients with idiopathic or ischemic dilated cardiomyopathy. We treated a 17 year 11 month old girl with dilated cardiomyopathy after mitral valve replacement (MVR) and septal anterior ventricular exclusion (SAVE). Seven years after the SAVE procedure, she presented complaining of palpitations and general fatigue with normal activity. Her echocardiogram showed reduced left ventricular function. Despite of optimal medical therapy, her left ventricular function continued to decline and she experienced regular arrhythmias such as premature ventricular contractions. We thus elected to perform cardiac resynchronization therapy with defibrillator (CRT-D). After CRT-D, her clinical symptoms improved dramatically and left ventricular ejection fraction (LVEF) improved from 31.2% to 51.3% as assessed by echocardiogram. Serum BNP levels decreased from 448.2 to 213.6 pg/ml. On ECG, arrhythmias were remarkably reduced and QRS duration was shortened from 174 to 152 msec. In conclusion, CRT-D is an effective therapeutic option for adolescent patients with refractory heart failure after left ventricular volume reduction surgery.

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Section: Resultsmentioning

confidence: 99%

Effective cardiac resynchronization therapy for an adolescent patient with dilated cardiomyopathy seven years after mitral valve replacement and septal anterior ventricular exclusion

Mima

Baba

Yokoo

et al. 2010

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…Furthermore, in patients with advanced symptomatic heart failure (NYHA functional class III or IV), left ventricular ejection fraction of less than 0.20, a left ventricular end-diastolic dimension of 75 mm or more, or a peak oxygen consumption of less than 10 mL/kg/min, strong consideration should be given to placement of biventricular epicardial leads at the time of operation. Institution of biventricular pacing in patients with heart failure has been shown to improve symptomatic heart failure, increase peak oxygen consumption, increase walk distance, and decrease left ventricular chamber dimension [4].…”

Section: Recent Reports Have Suggested That Tricuspid Valve Repair Pe...mentioning

confidence: 99%

Invited Commentary

Mangi

2009

The Annals of Thoracic Surgery

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Synopsis of Adult Cardiac Surgical Disease

Bojar

2005

Manual of Perioperative Care in Adult Cardiac Surgery

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Cardiac Resynchronization Therapy: Long-Term Alternative to Cardiac Transplantation?

Cited by 10 publications

References 38 publications

Effective cardiac resynchronization therapy for an adolescent patient with dilated cardiomyopathy seven years after mitral valve replacement and septal anterior ventricular exclusion

Effective cardiac resynchronization therapy for an adolescent patient with dilated cardiomyopathy seven years after mitral valve replacement and septal anterior ventricular exclusion

Invited Commentary

Synopsis of Adult Cardiac Surgical Disease

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