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Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2003;75:998-999
© 2003 The Society of Thoracic Surgeons

Case report

Biventricular pacing with coronary bypass and Dor’s ventriculoplasty

Tomohiro Mizuno, MDa, Hiroyuki Tanaka, MDa*, Satoru Makita, MDa, Noriyuki Tabuchi, MDa, Hirokuni Arai, MDa, Makoto Sunamori, MDa

a Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan

Accepted for publication September 7, 2002.

* Address reprint requests to Dr Tanaka, Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
e-mail: office.tsrg{at}tmd.ac.jp

We applied biventricular pacing to a patient with severe ischemic dilated cardiomyopathy (left ventricular [LV] ejection fraction 19%, LV end-diastolic volume 360 mL, and complete left bundle branch block). An epicardial LV lead was surgically implanted concomitant with on-pump beating coronary artery bypass grafting and Dor’s endoventricular circular patch plasty. Biventricular pacing immediately achieved the resynchronization of the LV contraction, and improved cardiac function as well as reducing mitral regurgitation. Biventricular pacing combined with cardiac surgery for patients with cardiomyopathy and complete left bundle branch block may produce beneficial effects on LV function.




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