title: Biventricular pacing 18 months after Batista operation.
abstract: We conducted biventricular pacing in a patient with dilated cardiomyopathy and complete left bundle branch block who had recurrent heart failure and mitral valve regurgitation 18 months after partial left ventriculectomy and mitral valve repair. An epicardial lead was fixed on the left ventricular free wall surgically through a thoracotomy, and the other two leads were implanted transvenously. Biventricular pacing restored contractile synchrony and led to more efficient left ventricular contraction and reductions in mitral regurgitation. Biventricular pacing may produce beneficial effects for patients with the recurrent intractable heart failure associated with cardiomyopathy and complete left bundle branch block after partial left ventriculectomy.
authors.affiliation: Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan. k-iino@m8.dion.ne.jp
authors.forename: Kenji
authors.initials: K
authors.lastname: Iino
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Ohashi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Tsutsumi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Kawai
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Fujii
authors.forename: Masateru
authors.initials: M
authors.lastname: Ohnaka
mesh_terms: D002037:Bundle-Branch Block / Q000628:therapy*; D002304:Cardiac Pacing, Artificial; D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D006333:Heart Failure / Q000628:therapy*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D009929:Organ Size; D011183:Postoperative Complications / Q000628:therapy*; D011184:Postoperative Period; D019736:Prostheses and Implants; D012008:Recurrence; D013536:Suture Techniques; D013997:Time Factors