Cardiac resynchronisation therapy associated with pulmonary artery banding in an adult with severe right ventricular dysfunction after Mustard repair for complete transposition of the great arteries: results after 2 years of follow-up. (12th February 2013)

• Record Type: Journal Article
• Authors: Donazzan, Luca; Stellin, Giovanni; Rauhe, Werner Guenther; Bonazza, Lucio; Stuefer, Josef; Romeo, Cristina; Crepaz, Roberto
• Is Part Of: Cardiology in the young. Volume 24:Number 1(2014:Feb.)
• Page Start: 99
• Page End: 104
• Publication Date: 2013-02-12
• Subjects: Complete transposition of the great arteries, -- cardiac resynchronisation therapy, -- congestive cardiac failure, -- echocardiography; Pediatric cardiology -- Periodicals; 618.9212
• DOI: 10.1017/S1047951112002259
• Languages: English
• ISSNs: 1047-9511

Abstract

Abstract: Late dysfunction of the systemic right ventricle in patients with complete transposition of the great arteries after Mustard or Senning procedures and progressive deterioration of the clinical status has been demonstrated. However, evidence-based data on the effective therapy for systemic right ventricular dysfunction in these patients are yet to be defined. Our patient shows an improvement in the right ventricular systolic function, with a reduction in tricuspid regurgitation and a consequent better exercise tolerance after a hybrid approach consisting of an upgrading of a previous transvenous-implanted dual-chamber Implantable Cardiac Defibrillator to biventricular pacing associated with pulmonary artery banding via an anterior thoracotomy.