Right ventricular resynchronization in a patient with repaired tetralogy of Fallot and severe ventricular dysfunction

Julián Rodríguez-García, Antonia Pijuan-Domenech*, Jaume Francisco-Pascual, Laura Dos-Subirà, Berta Miranda-Barrio, Alba Santos-Ortega, Nuria Rivas-Gándara

*Autor corresponent d’aquest treball

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Resum

Right ventricular (RV) resynchronization therapy (CRT) with stimulation electrode implantation in the latest activation area guided by a high-density electroanatomic activation map was successfully performed in a patient with repaired tetralogy of Fallot (rToF), severe pulmonary regurgitation (PR), and severe dysfunction and dilatation of the right ventricle. An improvement in his clinical condition and intraventricular synchrony was achieved. There is a mechanical-electrical interaction in the right ventricle of patients with rToF; therefore, RV CRT in selected cases may be beneficial. Electroanatomic activation mapping can help achieve maximum clinical benefit by identifying the optimal stimulation site.
Idioma originalEnglish
Pàgines (de-a)2119-2123
Nombre de pàgines5
RevistaPACE - Pacing and Clinical Electrophysiology
Volum44
Número12
DOIs
Estat de la publicacióPublicada - de des. 2021

Keywords

  • Cardiac resynchronization
  • Congenital cardiac disease
  • Tetralogy of Fallot

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