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
Hauptverfasser: Udink ten Cate, Floris E. A., Germund, Ingo, Goossens, Stijn S., Bennink, Gerardus, Sreeram, Narayanswami
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container_end_page 1216
container_issue 6
container_start_page 1211
container_title Echocardiography (Mount Kisco, N.Y.)
container_volume 36
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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source MEDLINE; Wiley Online Library Journals Frontfile Complete
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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