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J Thorac Cardiovasc Surg 2004;127:287-288
© 2004 The American Association for Thoracic Surgery

Brief communication

Cardiac resynchronization therapy in a patient with single ventricle and intracardiac conduction delay

Hideaki Senzaki, MDa,*, Shunei Kyo, MDa, Kazuo Matsumoto, MDa, Haruhiko Asano, MDa, Satoshi Masutani, MDa, Hirotaka Ishido, MDa, Tamotu Matunaga, MDa, Mio Taketatu, MDa, Toshiki Kobayashi, MDa, Nozomu Sasaki, MDa, Yuji Yokote, MDa

a Department of Pediatric Cardiology and Cardiovascular Surgery, Saitama Medical School Hospital, Saitama, Japan

Received for publication July 1, 2003; accepted for publication September 16, 2003.

* Address for reprints: Hideaki Senzaki, MD, Department of Pediatric Cardiology, Saitama Heart Institute, Saitama Medical School Hospital, 38 Morohongo, Moroyama, Saitama 350-0495, Japan
hsenzaki@saitama-med.ac.jp

The first 20% of the full text of this article appears below.

Cardiac resynchronization therapy (CRT) by left ventricular or biventricular pacing improves cardiac performance and clinical status in patients with heart failure and intraventricular conduction delay.1,2 This newer mode of heart failure therapy has previously only been used for patients with normal cardiac anatomy. Here we report the first case in which we applied this therapeutic methodology to a patient who had single-ventricle anatomy with advanced heart failure and intraventricular conduction delay.

Clinical summary

The patient was an 18-year-old man with asplenia syndrome with cardiac anomaly associated with a single right ventricle, common atrioventricular (AV) valve, and pulmonary stenosis. Bidirectional Glenn anastomosis had been performed at a different institution when the patient was 8 years old, but this was subsequently reversed because of aneurysm formation at the anastomosis site. The patient had been followed up thereafter as having inoperable disease. He was repeatedly hospitalized because of worsening heart failure associated with severe AV valve regurgitation and cyanosis and was referred to our hospital. Initial examination revealed that the patient was in sinus rhythm and had right . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 World Journal for Pediatric and Congenital Heart SurgeryHome page
M. Cohen, J. P. Saul, A. S. Batra, R. Friedman, and J. Janousek
Acute Cardiac Resynchronization Therapy for the Failing Left, Right, or Single Ventricle After Repaired Congenital Heart Disease
World Journal for Pediatric and Congenital Heart Surgery, July 1, 2011; 2(3): 424 - 429.
[Abstract] [Full Text] [PDF]


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