Transvenous biventricular pacing in a child after congenital heart surgery as an alternative therapy for congestive heart failure.
Transvenous Biventricular Pacing in Children. Cardiac resynchronization therapy improves short-term and long-term hemodynamics in adult patients with congestive heart failure and left bundle branch block. We describe the feasibility of transvenous biventricular pacemaker implantation in a 6-year-old child with heart failure and wide QRS complex after congenital heart surgery. Myocardial tissue Doppler imaging was used to demonstrate intraventricular dyssynchrony and resynchronization after cardiac resynchronization therapy. During 1-year follow-up, symptomatology and hemodynamic parameters improved.
Blom
Nico A
NA
Department of Pediatric Cardiology, Leiden University Medical Center, Leiden, The Netherlands. N.A.Blom@lumc.nl
Bax
Jeroen J
JJ
Ottenkamp
Jaap
J
Schalij
Martin J
MJ
D002304:Cardiac Pacing, Artificial / Q000379:methods*; D002648:Child; D000529:Complementary Therapies / Q000379:methods; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery*; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D017211:Treatment Failure; D016896:Treatment Outcome