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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Format: | Article |
Language: | English |
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Wiley
2017-12-01
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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 |
first_indexed | 2024-12-10T04:42:26Z |
format | Article |
id | doaj.art-cd1496d471ab4ef69003a15d394523f2 |
institution | Directory Open Access Journal |
issn | 1880-4276 |
language | English |
last_indexed | 2024-12-10T04:42:26Z |
publishDate | 2017-12-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Arrhythmia |
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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