Successful biventricular cardiac resynchronization therapy in a failing Fontan patient: Implications of ventriculo‐ventricular interdependency in single ventricle physiology
We describe a Fontan patient with severe heart failure who was successfully treated with biventricular cardiac resynchronization therapy (CRT). Our case shows that strain imaging might play a crucial role in guiding placement of pacing leads and in characterizing the electromechanical substrate asso...
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Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2019-06, Vol.36 (6), p.1211-1216 |
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container_title | Echocardiography (Mount Kisco, N.Y.) |
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creator | Udink ten Cate, Floris E. A. Germund, Ingo Goossens, Stijn S. Bennink, Gerardus Sreeram, Narayanswami |
description | We describe a Fontan patient with severe heart failure who was successfully treated with biventricular cardiac resynchronization therapy (CRT). Our case shows that strain imaging might play a crucial role in guiding placement of pacing leads and in characterizing the electromechanical substrate associated with a favorable CRT response. Furthermore, we demonstrate for the first time that ventriculo‐ventricular interdependency seems an important mechanical concept, which can be utilized to augment cardiac performance in failing Fontan patients with a functional hypoplastic ventricle. |
doi_str_mv | 10.1111/echo.14376 |
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A.</creatorcontrib><creatorcontrib>Germund, Ingo</creatorcontrib><creatorcontrib>Goossens, Stijn S.</creatorcontrib><creatorcontrib>Bennink, Gerardus</creatorcontrib><creatorcontrib>Sreeram, Narayanswami</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Udink ten Cate, Floris E. 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subjects | cardiac resynchronization therapy Cardiac Resynchronization Therapy - methods Child dyssynchrony Electrocardiography - methods Female Fontan Fontan Procedure Heart Failure - therapy Heart Ventricles - diagnostic imaging Heart Ventricles - physiopathology Humans Postoperative Complications - diagnostic imaging Postoperative Complications - surgery single ventricle speckle tracking echocardiography strain imaging Treatment Outcome Univentricular Heart - diagnostic imaging Univentricular Heart - physiopathology |
title | Successful biventricular cardiac resynchronization therapy in a failing Fontan patient: Implications of ventriculo‐ventricular interdependency in single ventricle physiology |
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