Cardiac Resynchronization for Corrected Transposition of the Great Arteries with Systemic Right Ventricle Failure after Tricuspid Valve Replacement and Ventricle Septal Defect Closure

• Fujii Kosuke

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Saga Toshihiko

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Kitayama Hitoshi

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Nakamoto Susumu

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Kaneda Toshio

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Kawasaki Hiroshi

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Takaba Kiyoaki

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Imura Masato

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Nishino Takako

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Yukami Shintaro

  Department of Cardiovascular Surgery, Kinki University School of Medicine

• Iemura Junzo

  Department of Cardiovascular Surgery, Kinki University School of Medicine

抄録

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.

収録刊行物

• Journal of Arrhythmia

  Journal of Arrhythmia 26 (4), 267-271, 2010

  日本不整脈学会

キーワード

• Cardiac resynchronization therapy
• Corrected TGA
• Systemic right ventricular failure

詳細情報

• CRID: 1390001205244499712
• NII論文ID: 10027905277
• NII書誌ID: AA12059301
• DOI: 10.4020/jhrs.26.267
• ISSN: 18832148
• ISSN: 18804276
• Web Site: https://search.jamas.or.jp/link/ui/2011222190
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可