title: The impact of cardiac resynchronization therapy in an end-stage heart failure patient with a left ventricular assist device as a bridge to recovery. A case report.
abstract: A 15-year-old male with acute decompensated heart failure was referred to our hospital for left ventricular assist device (LVAD) implantation as a bridge to recovery. Despite optimal medication, repetitive LVAD off-pump test findings suggested that his cardiac function had not improved enough to perform LVAD removal. However, his cardiac function significantly improved with cardiac resynchronization therapy (CRT). He underwent LVAD explantation and was successfully discharged from the hospital. We describe the case of an end-stage heart failure patient who underwent successful LVAD removal with CRT. The effect of CRT was definitively evaluated with right heart catheterization during LVAD off-pump test.
authors.affiliation: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Muratsu
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hara
authors.forename: Isamu
authors.initials: I
authors.lastname: Mizote
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Asano
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sakata
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Saito
authors.forename: Goro
authors.initials: G
authors.lastname: Matsumiya
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
authors.forename: Issei
authors.initials: I
authors.lastname: Komuro
mesh_terms: D000293:Adolescent; D001706:Biopsy; D058406:Cardiac Resynchronization Therapy / Q000379:methods*; D017023:Coronary Angiography; D004452:Echocardiography; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D012720:Severity of Illness Index; D016277:Ventricular Function, Left / Q000502:physiology*