Key result
Cardiac resynchronization therapy improved septal-to-posterior wall motion delay from 146 to 104 msec and increased cardiac output, enabling successful left ventricular assist device explantation.
Why the study?
The impact of cardiac resynchronization therapy on cardiac function and LVAD removal in end-stage heart failure patients as a bridge to recovery is not well characterized.
Does cardiac resynchronization therapy improve cardiac function to allow LVAD explantation in a pediatric patient with end-stage heart failure?
Case Report (n=1)
No
Does cardiac resynchronization therapy improve cardiac function to allow LVAD explantation in a pediatric patient with end-stage heart failure?
Cardiac resynchronization therapy may facilitate myocardial recovery and successful LVAD explantation in select pediatric patients with end-stage heart failure.
A 15-year-old male with acute decompensated heart failure was referred to our hospital for left ventricular assist device (LVAD) implantation as a bridge to recovery. Despite optimal medication, repetitive LVAD off-pump test findings suggested that his cardiac function had not improved enough to perform LVAD removal. However, his cardiac function significantly improved with cardiac resynchronization therapy (CRT). He underwent LVAD explantation and was successfully discharged from the hospital. We describe the case of an end-stage heart failure patient who underwent successful LVAD removal with CRT. The effect of CRT was definitively evaluated with right heart catheterization during LVAD off-pump test.
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Muratsu et al. (2011) conducted a case report in End-stage heart failure (n=1). Cardiac resynchronization therapy (CRT) vs. Pre-CRT status was evaluated on Hemodynamic improvement and successful LVAD explantation. Cardiac resynchronization therapy improved septal-to-posterior wall motion delay from 146 to 104 msec and increased cardiac output, enabling successful left ventricular assist device explantation.
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