Open AccessCardiac Resynchronization for Corrected Transposition of the Great Arteries with Systemic Right Ventricle Failure after Tricuspid Valve Replacement and Ventricle Septal Defect Closure
Author(s) -
Fujii Kosuke,
Saga Toshihiko,
Kitayama Hitoshi,
Nakamoto Susumu,
Kaneda Toshio,
Kawasaki Hiroshi,
Takaba Kiyoaki,
Imura Masato,
Nishino Takako,
Yukami Shintaro,
Iemura Junzo
Publication year - 2010
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/s1880-4276(10)80026-2
Subject(s) - medicine , cardiology , cardiac resynchronization therapy , great arteries , ventricle , qrs complex , heart failure , left bundle branch block , tricuspid valve , ejection fraction , right bundle branch block , electrocardiography
A 32‐year‐old man developed systemic right ventricular (RV) heart failure after ventricular septal defect (VSD) closure and tricuspid valve replacement for corrected transposition of the great arteries with VSD and Ebstein anomaly. He subsequently experienced RV failure with wide QRS and atrial fibrillation (AF). Because corrective surgery for this condition seemed over risky, we decided to perform cardiac resynchronization therapy with implantation of an implantable cardioverter defibrillator (CRT‐D). After CRT‐D device implantation, the patient showed improved performance status in terms of New York Heart Association functional class, B‐type brain natriuretic peptide levels, RV ejection fraction and cardiac electrical rhythm. CRT‐D implantation is a useful approach for systemic RV failure with wide QRS duration showing right bundle branch block and AF.