Pediatric cardiology · 2025
Cardiac Resynchronization Therapy to Aid Ventricular Assist Device Explantation in Infants with Cardiomyopathy and Left Bundle Branch Block.
СтатьяКлинический случайНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chaudhary Anila A, Srinivasan Chandra, Maeda Katsuhide, DeWitt Aaron G, Montgomery Catherine, Rastogi Radhika, O'Connor Matthew J, Edwards Jonathan J, Ahmed Humera, Lin Kimberly Y, Rossano Joseph W, Wittlieb-Weber Carol, Edelson Jonathan B
Аннотация
Two previously healthy infants presented with severely dilated left ventricles (LV) and severely diminished left ventricular function. Their initial ECGs demonstrated a left bundle branch block (LBBB) with evidence of dyskinetic septal wall motion on serial echocardiograms. Both were supported with a Berlin Heart EXCOR left ventricular assist device (LVAD). Serial LVAD turn down trials demonstrated improvement in LV function, though with ongoing pronounced septal dyskinesis due to the LBBB. Both underwent successful LVAD explantation with simultaneous epicardial lead placement for biventricular cardiac resynchronization therapy (CRT) given the ongoing dyssynchrony. LVAD explantation in this age group is rare. These cases highlight CRT as a strategy which may aid in the successful explant of ventricular assist devices in select patients who have LBBB and evidence of dyssynchrony by echocardiogram.