Abstract
Cardiac resynchronization therapy is a common option in adult patients with heart failure and conduction abnormalities. Specific selection criteria for pediatric population are lacking. We report the case of a 14-year-old boy with signifi cant pulmonary regurgitation subsequent to corrected tetralogy of Fallot and single chamber permanent pacing which presented with heart failure symptoms. Careful management was planned by a Heart Team including pediatric cardiologist, cardiac surgeon, interventional cardiologist and anesthesiologist. After undergoing cardiac surgery with complete correction of the pulmonary regurgitation and upgrade to a triple chamber pacing, the patient was discharged in good clinical status.
Highlights
Cardiac resynchronization therapy (CRT) has proven its effectiveness in appropriately selected candidates and became a standard of care in adult heart failure (HF) patients with conduction abnormalities
Current guidelines have specific recommendations regarding the selection of the CRT candidates, considering the clinical status, medical therapy, ECG and left ventricular ejection fraction (LVEF)[1]
We report the case of a 14-year-old boy with corrected tetralogy of Fallot and permanent cardiac pacing due to postoperative complete atrioventricular (AV) block which was referred for exertional dyspnea and growth retardation
Summary
Horia Stefan Rosianu[1], Razvan Olimpiu Mada[1], Simona Oprita[2], Adrian Stef[3], Manuel Chira[2], Catalin Aurelian Trifan[2]
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