Simultaneous total cavopulmonary connection and cardiac re-synchronisation therapy.
We report the simultaneous use of cardiac re-synchronisation therapy and total cavopulmonary connection in a patient with dyssynchrony, wide QRS, and cardiac failure. To our knowledge, this simultaneous approach has not been reported previously. On follow-up, we noted that QRS width and brain natriuretic peptide levels improved. In addition, speckle tracking revealed improved synchronisation of ventricular wall motion.
Department of Cardiovascular Surgery,School of Medicine,Juntendo University,Tokyo,Japan.
Keisuke
K
Nakanishi
Department of Cardiovascular Surgery,School of Medicine,Juntendo University,Tokyo,Japan.
Shiori
S
Kawasaki
Department of Cardiovascular Surgery,School of Medicine,Juntendo University,Tokyo,Japan.
Atsushi
A
Amano
D000714:Anastomosis, Surgical; D058406:Cardiac Resynchronization Therapy / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002675:Child, Preschool; D004452:Echocardiography; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014684:Venae Cavae / Q000000981:diagnostic imaging / Q000601:surgery*
Cardiac failure; cardiac re-synchronisation therapy; dyssynchrony; total cavopulmonary connection