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Total thoracoscopic left ventricular lead implantation for hybrid cardiac resynchronization therapy in pacemaker-mediated cardiomyopathy

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Abstract

Cardiac resynchronization therapy (CRT) has been increasingly performed in patients having heart failure with dyssynchrony. We report a successful case of total thoracoscopic left ventricular (LV) lead implantation in CRT. A 77-year-old man with marked dyssynchrony of the LV wall motion and a low ejection fraction (EF17%) due to pacemaker-mediated cardiomyopathy was referred to us. CRT was planned, but percutaneous LV lead implantation proved difficult owing to anatomical variations. The LV lead was placed in the post-lateral wall of the LV base using a total thoracoscopic procedure. Preoperative dyspnea and dyssynchrony were clearly improved. In CRT, the LV wall stimulation site is important. The LV lead should be implanted in the latest activation area, which can be detected using speckle tracking echocardiography. Surgical lead implantation can be performed in the ideal area, and this procedure may play a new role as a hybrid CRT.

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References

  1. Abraham WT, Fisher WG, Smith AL, Delurgio DB, Leon AR, Loh E, et al. Cardiac resynchronization in chronic heart failure. N Engl J Med. 2002;346:1845–53.

    Article  PubMed  Google Scholar 

  2. Brignole M, Auricchio A, Baron-Esquivias G, Bordachar P, Boriani G, Breithardt OA, et al. ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on Cardiac Pacing and Resynchronization Therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J 2013;34:2281–329.

    Article  PubMed  Google Scholar 

  3. Khan FZ, Virdee MS, Palmer CR, Pugh PJ, O`Halloran D, Elsik M, et al. Targeted left ventricular lead placement to guide cardiac resynchronization therapy. J Am Coll Cardiol. 2012;59:1509–18.

    Article  PubMed  Google Scholar 

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Acknowledgements

We thank Erika Sano, Yuri Sato, Taisuke Miyamoto, Masatoshi Takeda, Tetsuro Ito, Syunsuke Sasaoka, Takumi Narita, and Masao Takahashi for assistance with this work. We appreciate Dr. Edward Barroga for editing the manuscript.

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Authors and Affiliations

  1. Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan

    Yu Inaba, Tsutomu Ito, Sachiko Hayashi, Tatsuo Takahashi & Takahiko Misumi

  2. Thoracic Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan

    Yoshimasa Inoue & Teruhiro Aoki

  3. Cardiology, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan

    Hideyuki Takimura & Tsuyoshi Sakai

  4. Cardiovascular Surgery, Keio University, Minato, Japan

    Hideyuki Shimizu

Authors
  1. Yu Inaba
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  2. Tsutomu Ito
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  3. Sachiko Hayashi
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  4. Tatsuo Takahashi
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  5. Yoshimasa Inoue
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  6. Teruhiro Aoki
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  7. Hideyuki Takimura
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  8. Tsuyoshi Sakai
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  9. Takahiko Misumi
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  10. Hideyuki Shimizu
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Correspondence to Yu Inaba.

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Inaba, Y., Ito, T., Hayashi, S. et al. Total thoracoscopic left ventricular lead implantation for hybrid cardiac resynchronization therapy in pacemaker-mediated cardiomyopathy. Gen Thorac Cardiovasc Surg 65, 598–601 (2017). https://doi.org/10.1007/s11748-016-0744-y

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  • DOI: https://doi.org/10.1007/s11748-016-0744-y

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