Biventricular pacing for weaning from extracorporeal circulation in heart failure.
Resynchronization of the intra- and interventricular conduction by biventricular pacing has been suggested in patients with end-stage heart failure. We present a case in which extracorporeal circulation could only be weaned after placement of an additional left ventricular pacing wire. Biventricular stimulation led to normal motion of the anterior wall and a previously bulging interventricular septum; this improved the hemodynamic situation significantly.
Kleine
Peter
P
Department of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. p.kleine@em.uni-frankfurt.de
Doss
Mirko
M
Aybek
Tayfun
T
Wimmer-Greinecker
Gerhard
G
Moritz
Anton
A
D000368:Aged; D002304:Cardiac Pacing, Artificial; D005112:Extracorporeal Circulation; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000628:therapy*