Open AccessCardiac resynchronization therapy (CRT-D) therapy to the single ventricle with non-compaction cardiomyopathy
Author(s) -
Deniz Elçik,
Mustafa Fehmi Bireciklioğlu,
Ali Doğan,
Mehmet Tuğrul İnanç
Publication year - 2019
Publication title -
türk kardiyoloji derneği arşivi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 24
ISSN - 1016-5169
DOI - 10.5543/tkda.2019.06730
Subject(s) - cardiac resynchronization therapy , medicine , cardiology , qrs complex , ventricle , left bundle branch block , heart failure , right bundle branch block , atrioventricular block , cardiomyopathy , electrocardiography , bundle branch block , ejection fraction
A 32-year-old male patient was admitted to the hospital with syncope. An electrocardiogram revealed complete atrioventricular (AV) block and a right bundle branch block with a QRS duration of 218 milliseconds. The heart rate was 40 beats/minute. Echocardiography revealed that both AV valves opened to a single ventricle as well as noncompaction of the myocardium. Due to New York Heart Association class III heart failure, cardiac resynchronization therapy with a defibrillator device (CRT-D) was performed. After the implantation, the electrocardiography QRS duration was reduced to 183 ms. To our knowledge, this was the first reported case of CRT-D implantation in a patient with a noncompacted single ventricle and complete AV block.