Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair

Cardiac resychronization therapy (CRT) was performed via transvenous approach in a 2-year-old boy with a tetralogy of Fallot and postoperative severe heart failure, and complete atrioventricular block treated with a dual-chamber pacemaker. Epicardial leads were unavailable because of mediastinitis a...

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Main Authors: Hisaaki Aoki, MD, PhD, Misugi Emi, MD, Noboru Inamura, MD, PhD, Shigemitsu Iwai, MD, PhD, Futoshi Kayatani, MD
Format: Article
Language:English
Published: Wiley 2017-12-01
Series:Journal of Arrhythmia
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427617301370
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author Hisaaki Aoki, MD, PhD
Misugi Emi, MD
Noboru Inamura, MD, PhD
Shigemitsu Iwai, MD, PhD
Futoshi Kayatani, MD
author_facet Hisaaki Aoki, MD, PhD
Misugi Emi, MD
Noboru Inamura, MD, PhD
Shigemitsu Iwai, MD, PhD
Futoshi Kayatani, MD
author_sort Hisaaki Aoki, MD, PhD
collection DOAJ
description Cardiac resychronization therapy (CRT) was performed via transvenous approach in a 2-year-old boy with a tetralogy of Fallot and postoperative severe heart failure, and complete atrioventricular block treated with a dual-chamber pacemaker. Epicardial leads were unavailable because of mediastinitis and the presence of severe bilateral pleural effusions requiring continuous drainage. There were no procedural complications. Biventricular pacing was significantly effective and both mediastinitis and pleural effusions recurred. The transvenous CRT was exchanged for an epicardial CRT after 4 months because of the possibility of a venous obstruction. Keywords: Transvenous CRT, Children, Heart failure, Bridging therapy
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spelling doaj.art-cd1496d471ab4ef69003a15d394523f22022-12-22T02:01:51ZengWileyJournal of Arrhythmia1880-42762017-12-01336649651Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repairHisaaki Aoki, MD, PhD0Misugi Emi, MD1Noboru Inamura, MD, PhD2Shigemitsu Iwai, MD, PhD3Futoshi Kayatani, MD4Department of Pediatric Cardiology, Osaka Women's and Children's Hospital, Osaka, Japan; Correspondence to: Osaka Women's and Children's Hospital, 840 Murodo-cho Izumi, Osaka 594-1101, Japan. Fax: +81 725 56 5605.Department of Pediatric Cardiology, Osaka Women's and Children's Hospital, Osaka, JapanDepartment of Pediatric Cardiology, Osaka Women's and Children's Hospital, Osaka, JapanDepartment of Cardiovascular Surgery, Osaka Women's and Children's Hospital, Osaka, JapanDepartment of Pediatric Cardiology, Osaka Women's and Children's Hospital, Osaka, JapanCardiac resychronization therapy (CRT) was performed via transvenous approach in a 2-year-old boy with a tetralogy of Fallot and postoperative severe heart failure, and complete atrioventricular block treated with a dual-chamber pacemaker. Epicardial leads were unavailable because of mediastinitis and the presence of severe bilateral pleural effusions requiring continuous drainage. There were no procedural complications. Biventricular pacing was significantly effective and both mediastinitis and pleural effusions recurred. The transvenous CRT was exchanged for an epicardial CRT after 4 months because of the possibility of a venous obstruction. Keywords: Transvenous CRT, Children, Heart failure, Bridging therapyhttp://www.sciencedirect.com/science/article/pii/S1880427617301370
spellingShingle Hisaaki Aoki, MD, PhD
Misugi Emi, MD
Noboru Inamura, MD, PhD
Shigemitsu Iwai, MD, PhD
Futoshi Kayatani, MD
Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair
Journal of Arrhythmia
title Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair
title_full Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair
title_fullStr Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair
title_full_unstemmed Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair
title_short Cardiac resynchronization therapy via transvenous approach in a 2-year-old boy with a complete atrioventricular block after a tetralogy of Fallot repair
title_sort cardiac resynchronization therapy via transvenous approach in a 2 year old boy with a complete atrioventricular block after a tetralogy of fallot repair
url http://www.sciencedirect.com/science/article/pii/S1880427617301370
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