Cardiac resynchronization therapy-defibrillator implantation guided by electroanatomic mapping in a young adult patient with congenital heart disease |
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Institution: | Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Naples, Italy |
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Abstract: | Cardiac resynchronization therapy-defibrillator (CRT-D) implantation is a therapeutic option for adult patients with congenital heart disease (CHD), bundle branch block, reduced ejection fraction and symptoms of heart failure. A new implantation approach guided by the electroanatomic mapping (EAM) has been developed to overcome some issues of the standard technique: non-responder patients, high x-ray exposure and use of iodinated contrast medium for coronary sinus angiography. This approach has not been previously described in the CHD population. We report a case of EAM-guided approach for CRT-D implantation in a young adult patient with CHD. |
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Keywords: | Cardiac resynchronization therapy Heart failure Congenital heart disease Electroanatomic mapping Fluoroscopy Contrast dye |
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