title: Cardiac resynchronization therapy for ischemic myopathy.
abstract: We performed coronary artery grafting, mitral valve plasty, and tricuspid plasty in a 75-year-old man who had double-vessel coronary disease and moderate mitral and tricuspid insufficiency. Preoperative transthoracic echocardiography revealed an ejection fraction of 34% and dyssynchronous wall motion of the septum and free wall. We placed pacing leads on the right ventricular outlet and posterior left ventricular wall for cardiac resynchronization therapy. The dyssynchrony disappeared postoperatively and the New York Heart Association functional class improved from IV to I.
authors.affiliation: Cardiovascular Surgery Department, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Ikeda
authors.affiliation: Cardiovascular Surgery Department, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Yoshida
authors.affiliation: Cardiovascular Surgery Department, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Keiji
authors.initials: K
authors.lastname: Yunoki
authors.affiliation: Cardiovascular Surgery Department, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Kunikazu
authors.initials: K
authors.lastname: Hisamochi
mesh_terms: D000368:Aged; D058406:Cardiac Resynchronization Therapy; D058409:Cardiac Resynchronization Therapy Devices; D009202:Cardiomyopathies / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000503:physiopathology / Q000601:surgery; D058386:Mitral Valve Annuloplasty; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D020127:Recovery of Function; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000503:physiopathology / Q000601:surgery; D016277:Ventricular Function, Left
keywords: Cardiac resynchronization therapy; Dyssynchronous wall motion; Ischemic myopathy