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Cardiac resynchronization therapy (CRT) is a new treatment for refractory heart failure. However, most heart failure patients treated with CRT are middle-aged or old patients with idiopathic or ischemic dilated cardiomyopathy. We treated a 17 year 11 month old girl with dilated cardiomyopathy after mitral valve replacement (MVR) and septal anterior...
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... LV lead was placed at the lateral wall of the coronary sinus because there was the possibility that the main trunk of the coronary sinus was occluded during the SAVE procedure assessed by contrast medium. We show the final pacing site by the chest X-ray (Figure 2). The pacemaker mode was DDD 60-130 bpm biventricu- lar pacing. ...Similar publications
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Citations
We report a girl who had dilated cardiomyopathy (DCM) and failed to thrive since birth. Transvenous cardiac resynchronization therapy with defibrillator (CRT-D) was implanted when she was 9-year-old, and her body size increased drastically thereafter, although serial chest plain films showed that the implantable cardioverter defibrillator (ICD) lead was gradually stretched with loss of lead curvature. We concluded that transvenous CRT-D may be clinically feasible and clinically beneficial in children with DCM, though "more than optimal" lead curvature reserve should be evaluated in advance to avoid potential lead retraction and malfunction of the pacing system.
