Successful biventricular cardiac resynchronization therapy in a failing Fontan patient: Implications of ventriculo-ventricular interdependency in single ventricle physiology
SourceEchocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques, 36, 6, (2019), pp. 1211-1216
Article / Letter to editor
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Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques
SubjectRadboudumc 16: Vascular damage RIHS: Radboud Institute for Health Sciences
We describe a Fontan patient with severe heart failure who was successfully treated with biventricular cardiac resynchronization therapy (CRT). Our case shows that strain imaging might play a crucial role in guiding placement of pacing leads and in characterizing the electromechanical substrate associated with a favorable CRT response. Furthermore, we demonstrate for the first time that ventriculo-ventricular interdependency seems an important mechanical concept, which can be utilized to augment cardiac performance in failing Fontan patients with a functional hypoplastic ventricle.
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