Initial experience with cardiac resynchronization therapy for ventricular dysfunction in young patients with surgically operated congenital heart disease

• Published in: The American journal of cardiology Vol. 94; no. 10; pp. 1352 - 1354
• Main Authors: Strieper, Margaret, Karpawich, Peter, Frias, Patrick, Gooden, Kevin, Ketchum, Diana, Fyfe, Derek, Campbell, Robert
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 15.11.2004; Elsevier; Elsevier Limited
• Subjects: Adolescent; Adult; Biological and medical sciences; Cardiology; Cardiology. Vascular system; Cardiovascular disease; Child; Child, Preschool; Children & youth; Electrocardiography; Female; Heart Block - etiology; Heart Block - therapy; Heart Defects, Congenital - complications; Heart Defects, Congenital - surgery; Heart Failure - etiology; Heart Failure - therapy; Humans; Male; Medical sciences; Medical treatment; Pacemaker, Artificial; Postoperative Complications; Ventricular Dysfunction, Left - etiology; Ventricular Dysfunction, Left - therapy; Heart; Human; Cardiovascular disease; Treatment; Congenital cardiopathy; Dysfunction
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2004.07.134

Data regarding cardiac resynchronization therapy (CRT) in pediatric patients are limited. The first reported use of CRT in a young patient with congenital heart disease showed promising early results with improvement in New York Heart Association classification, aerobic capacity, and ventricular contractility 1 month after implant. 1 Other reports have shown acute benefits of CRT in young patients with postoperative right bundle branch block after surgery for congenital heart defects. 2–4 To date, however, there are no published data regarding CRT for the long-term management of systemic ventricular dysfunction in the young with associated congenital heart disease. This report describes our initial experience with CRT in these patients.