Cardiomyoplasty after implantation of a pacemaker and cardioverter/defibrillator.
Presently, a combination of two surgical methods improves the survival of patients with advanced ventricular dysfunction: implantable cardioverter/defibrillator implantation (which prevents sudden cardiac death) and cardiomyoplasty (which prevents further dilatation of the heart and provides additional cardiac assistance). We report the clinical course of a patient who had cardiomyoplasty after cardioverter/defibrillator implantation and pacemaker insertion. It is a rare case in which three different devices cardioverter/defibrillator, pacemaker, and cardiomyostimulator) are functioning together without crosstalk.
Milwaukee Heart Institute, Wisconsin, USA.
V S
VS
Chekanov
S
S
Deshpande
D
D
Francischelli
P
P
Werner
D
D
Waller
D H
DH
Schmidt
D000328:Adult; D001919:Bradycardia / Q000150:complications / Q000628:therapy; D009202:Cardiomyopathies / Q000150:complications / Q000628:therapy; D018421:Cardiomyoplasty; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D017147:Defibrillators, Implantable; D006327:Heart Block / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D017180:Tachycardia, Ventricular / Q000150:complications / Q000601:surgery / Q000628:therapy*; D018487:Ventricular Dysfunction, Left / Q000628:therapy