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Ann Thorac Surg 2002;73:960-962
© 2002 The Society of Thoracic Surgeons


Case report

Biventricular pacing for weaning from extracorporeal circulation in heart failure

Peter Kleine, MD*a, Mirko Doss, MDa, Tayfun Aybek, MDa, Gerhard Wimmer-Greinecker, MDa, Anton Moritz, MDa

a Department of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany

Accepted for publication July 12, 2001.

* Address reprint requests to Dr Kleine, Klinik für Thorax-, Herz-, und Thorakale Gefässchirurgie, Johann Wolfgang Goethe-Universität, Theodor Stern Kai 7, 60590 Frankfurt, Germany
e-mail: p.kleine{at}em.uni-frankfurt.de

Resynchronization of the intra- and interventricular conduction by biventricular pacing has been suggested in patients with end-stage heart failure. We present a case in which extracorporeal circulation could only be weaned after placement of an additional left ventricular pacing wire. Biventricular stimulation led to normal motion of the anterior wall and a previously bulging interventricular septum; this improved the hemodynamic situation significantly.




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