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Simultaneous total cavopulmonary connection and cardiac re-synchronisation therapy

Published online by Cambridge University Press:  20 March 2017

Keisuke Nakanishi ,
Shiori Kawasaki  and
Atsushi Amano
Keisuke Nakanishi*
Affiliation:
Department of Cardiovascular Surgery, School of Medicine, Juntendo University, Tokyo, Japan
Shiori Kawasaki
Affiliation:
Department of Cardiovascular Surgery, School of Medicine, Juntendo University, Tokyo, Japan
Atsushi Amano
Affiliation:
Department of Cardiovascular Surgery, School of Medicine, Juntendo University, Tokyo, Japan
*
Correspondence to: Assistant Professor K. Nakanishi, MD, PhD, Department of Cardiovascular Surgery, School of Medicine, Juntendo University, 2-1-1, Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. Tel: +81 3 3813 3111; Fax: +81 3 3813 3210; E-mail: knakani@juntendo.ac.jp
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Abstract

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.

Keywords

Cardiac failuredyssynchronycardiac re-synchronisation therapytotal cavopulmonary connection
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 6 , August 2017 , pp. 1235 - 1238
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Copyright
© Cambridge University Press 2017 

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References

1. Prinzen, FW, Vernooy, K, Auricchio, A. Cardiac resynchronization therapy: state-of-the-art of current applications, guidelines, ongoing trials, and areas of controversy. Circulation 2013; 128: 2407–2418.Google Scholar
2. Sakaguchi, H, Miyazaki, A, Yamada, O, et al. Cardiac resynchronization therapy for various systemic ventricular morphologies in patients with congenital heart disease. Circ J 2015; 79: 649–655.Google Scholar
3. Derval, N, Bordachar, P, Lim, HS, et al. Impact of pacing site on QRS duration and its relationship to hemodynamic response in cardiac resynchronization therapy for congestive heart failure. J Cardiovasc Electrophysiol 2014; 25: 1012–1020.CrossRefGoogle ScholarPubMed
4. Arya, RC, Sood, NK, Ralhan, S, Wander, GS. TEE-guided left ventricular epicardial pacing lead placement for cardiac resynchronization therapy. Ann Card Anaesth 2012; 15: 229–232.CrossRefGoogle ScholarPubMed
5. Rickard, J, Bassiouny, M, Tedford, RJ, et al. Long-term outcomes in patients with ambulatory New York Heart Association class III and IV heart failure undergoing cardiac resynchronization therapy. Am J Cardiol 2015; 115: 82–85.CrossRefGoogle ScholarPubMed