title: Permanent biventricular ICD-implantation in a heart failure second re-do-CABG patient: a case report.
abstract: Biventricular pacing has been suggested in end-stage heart failure. We present a 59-year-old patient undergoing second re-do CABG (coronary artery bypass graft) and carotid artery endarterectomy. Ejection fraction was 15%, QRS-width 175 ms. Following the carotid and CABG procedure, an implanted single-chamber ICD (implantable cardioverter defibrillator) was upgraded to permanent biventricular DDD pacing by implantation of one epicardial left ventricular and one epicardial atrial electrode. At follow-up two months postoperatively ejection fraction had significantly improved to 45%, the patient underwent stress test with adequate load and reported a good quality of life.
authors.affiliation: Department of Thoracic & Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. dzemali@em.uni-frankfurt.de.
authors.forename: Omer
authors.initials: O
authors.lastname: Dzemali
authors.forename: Nadejda
authors.initials: N
authors.lastname: Monsefi
authors.forename: Anton
authors.initials: A
authors.lastname: Moritz
authors.forename: Peter
authors.initials: P
authors.lastname: Kleine