Permanent pacing in a patient with a left ventricular assist system.
A patient with end stage heart failure underwent permanent implantation of a Novacor left ventricular assist system. Progressive right ventricular dysfunction developed during the first two postoperative weeks. Temporary and subsequently permanent atrioventricular pacing to correct first degree heart block improved the performance of the device, with sustained resolution of his right ventricular failure.
Cave
M H
MH
Transplant Unit, Papworth Hospital, NHS Trust, Cambridge.
Wallwork
J
J
Schofield
P M
PM
D002304:Cardiac Pacing, Artificial; D004562:Electrocardiography; D006327:Heart Block / Q000503:physiopathology / Q000628:therapy*; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial