HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Vladimir Sojak Permission Requests Google Scholar Articles by Sojak, V. Articles by Danojevic, N. PubMed Articles by Sojak, V. Articles by Danojevic, N. Related Collections Electrophysiology - arrhythmias

---

Case Reports

Cardiac Resynchronization Therapy for the Failing Fontan Patient

^a Department of Cardiovascular Surgery, University Medical Center, Ljubljana, Slovenia
^b Pediatric Clinic, University Medical Center, Ljubljana, Slovenia
^d Department of Anesthesia, University Medical Center, Ljubljana, Slovenia
^c Biotronik, Erlangen, Germany

Accepted for publication December 4, 2007.

^_* Address correspondence to Dr Sojak, Department of Cardiovascular Surgery, Medical Center, Zaloska 7, Ljubljana, 1000, Slovenia (Email: vladimir.sojak{at}kclj.si).

Myocardial dysfunction is the leading cause of death in single-ventricle patients. Heart transplantation has traditionally been reserved for Fontan patients with end-stage myocardial dysfunction. Cardiac resynchronization therapy with multisite pacing was found to improve the myocardial performance in Fontan patients in acute postoperative settings; however, its role is unclear in chronic Fontan patients with progressive myocardial dysfunction. We present a case in which cardiac resynchronization therapy improved both hemodynamics and clinical condition in a Fontan patient with advanced myocardial dysfunction.