Pre-excitation induced ventricular dysfunction and successful berlin heart explantation after accessory pathway ablation

A 13  kg, 20 month-old, Caucasian girl, presented with cardiomyopathy, biventricular dysfunction and pre-excitation on electrocardiogram. She had normal intracardiac anatomy with severely dilated left ventricle and severely diminished biventricular function (Fig. 1). She was treated with milrinone an d epinephrine infusions, mechanical ventilation and listed for heart transplant. She underwent Berlin Heart EXCOR biventricular assist device (BiVAD) placement (30 ml LVAD and 25 ml RVAD pumps). No supraventricular tachycardia (SVT) was inducible or noted during her hospitalization.

Source: Journal of Electrocardiology - September 17, 2018 Category: Cardiology Authors: Utkarsh Kohli, Karen L. Pumphrey, Aziez Ahmed, Srikant Das Source Type: research