Concurrent Epicardial Cardiac Resynchronization at Time of Complicated Biventricular Device Extraction: A Potentially Life Saving Option

Publication date: Available online 19 March 2019Source: Canadian Journal of CardiologyAuthor(s): Nicolas Bergeron, Valérie Lafrenière-Bessi, Maxime Laflamme, François Philippon, Frédéric JacquesAbstractA 60-year-old man with cardiac resynchronization therapy defibrillator (CRT-D) lead endocarditis underwent transvenous lead extraction complicated by coronary sinus laceration and tamponade. Severe left ventricular dysfunction and unstable hemodynamic parameters persisted after emergent sternotomy, drainage and repair. Reinstitution of cardiac resynchronization therapy with an epicardial device resulted in immediate hemodynamic improvement. Our case illustrates the potentially lifesaving nature of single-stage extraction and reimplantation in resynchronization responders.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research