AI Article Synopsis

  • Systemic right ventricular dysfunction can be a late complication following the atrial switch operation for transposition of the great arteries.
  • Evidence suggests that cardiac resynchronization therapy (CRT) can enhance symptoms and heart function in these patients, but determining who qualifies for CRT remains difficult due to a lack of established clinical standards for congenital heart disease.
  • The article discusses a successful case where CRT was implanted for a failing systemic RV, utilizing various imaging techniques and cardiac hemodynamic analysis to guide the procedure.

Article Abstract

Systemic right ventricular dysfunction is 1 of the late complications of the atrial switch operation for transposition of the great arteries. It has been reported that cardiac resynchronization therapy (CRT) for the failing systemic right ventricle (RV) improves symptoms and systolic function. However, patient selection for CRT in congenital heart disease is still challenging because the clinical standard for CRT in these patients is not established. We describe a case of successful implantation of a CRT device for a failing systemic RV aided by multimodality imaging and cardiac hemodynamic studies.

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Source
http://dx.doi.org/10.1016/j.cjca.2015.01.004DOI Listing

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