Initial experience with cardiac resynchronization therapy for ventricular dysfunction in young patients with surgically operated congenital heart disease - 26/08/11

Doi : 10.1016/j.amjcard.2004.07.134

Margaret Strieper, DO ^a,⁎ , Peter Karpawich, MD ^b, Patrick Frias, MD ^a, Kevin Gooden, CCT ^a, Diana Ketchum, BSRDCS ^a, Derek Fyfe, MD ^a, Robert Campbell, MD ^a
^a Sibley Heart Center, Children's Healthcare of Atlanta at Emory University, Atlanta, Georgia
^b Children's Hospital Michigan, Wayne State University School of Medicine, Detroit, Michigan

^*Dr. Strieper's address is: Sibley Heart Center Cardiology, 52 Executive Park South, Suite 5200, Atlanta, Georgia 30329

Résumé

Data regarding cardiac resynchronization therapy (CRT) in pediatric patients are limited. The first reported use of CRT in a young patient with congenital heart disease showed promising early results with improvement in New York Heart Association classification, aerobic capacity, and ventricular contractility 1 month after implant.^{1Rodriquez-Cruz E., Karpawich P.P., Lieberman R.A., Tantengco M.V. Biventricular pacing as alternative therapy for dilated cardiomyopathy associated with congenital heart disease Pacing Clin Electrophysiol 2001 ; 124 : 235-237

Cliquez ici pour aller à la section Références} Other reports have shown acute benefits of CRT in young patients with postoperative right bundle branch block after surgery for congenital heart defects.^{2Dubin A.M., Feinstein J.A., Reddy V.M., Hanley F.L., Van Hare G.F., Rosenthal D.N. Electrical resynchronization: a novel therapy for the failing right ventricle Circulation 2003 ; 107 : 2287-2289 [cross-ref]

Cliquez ici pour aller à la section Références, 3Janousek J., Vojtovic P., Hucin B., Tlaskal T., Gebauer R.A., Gebauer R., Matejka T., Marek J., Reich O. Resynchronization pacing is a useful adjunct to the management of acute heart failure after surgery for congenital heart defects Am J Cardiol 2001 ; 88 : 145-152 [cross-ref]

Cliquez ici pour aller à la section Références, 4Zimmerman F.J., Starr J.P., Koenig P.R., Smith P., Hijazi Z.M., Bacha E.A. Acute hemodynamic benefit of multisite ventricular pacing after congenital heart surgery Ann Thorac Surg 2003 ; 75 : 1775-1780 [cross-ref]

Cliquez ici pour aller à la section Références} To date, however, there are no published data regarding CRT for the long-term management of systemic ventricular dysfunction in the young with associated congenital heart disease. This report describes our initial experience with CRT in these patients.

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Vol 94 - N° 10

P. 1352-1354 - novembre 2004 Retour au numéro

Article précédent

Diagnosis and management of restricted or closed foramen ovale in fetuses with congenital heart disease
Mary T. Donofrio, Yvonne A. Bremer, William B. Moskowitz

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Extramural coronary arteries in adults with cyanotic congenital heart disease
Reema Chugh, Joseph K. Perloff, Michael Fishbein, John S. Child

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Initial experience with cardiac resynchronization therapy for ventricular dysfunction in young patients with surgically operated congenital heart disease - 26/08/11

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