Thoracoscopic Left Ventricular Lead Implantation in Cardiac Resynchronization Therapy.
10.3346/jkms.2012.27.12.1595
- Author:
Dong Seop JEONG
1
;
Pyo Won PARK
;
Young Tak LEE
;
Seung Jung PARK
;
June Soo KIM
;
Young Keun ON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Cardiac Resynchronization Therapy;
Thoracoscopy
- MeSH:
*Cardiac Resynchronization Therapy;
Cardiomyopathy, Dilated/diagnosis;
*Defibrillators, Implantable;
Echocardiography;
Female;
Humans;
Middle Aged;
Thoracic Surgery, Video-Assisted;
Tomography, X-Ray Computed;
Ventricular Dysfunction, Left/radiography/surgery/*therapy
- From:Journal of Korean Medical Science
2012;27(12):1595-1597
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cardiac resynchronization therapy is known to reduce morbidity and mortality in patients with advanced heart failure as a result of dyssynchrony and systolic dysfunction of the left ventricle. Placement of the left ventricular (LV) lead via the coronary sinus can be difficult. When LV lead implantation is difficult, a video-assisted epicardial approach can be a good alternative. Although there are several reports of video-assisted epicardial LV lead implantation, mini-thoracotomy and lead implantation under direct vision have been used in most series. A 49-yr-old woman with dilated cardiomyopathy underwent the video-assisted epicardial LV lead implantation because percutaneous transvenous approach was difficult due to small cardiac veins. The patient was discharged without problems and showed improved cardiac function at the 3 follow-up months. We report the first successful total thoracoscopic LV lead implantation (without mini-thoracotomy) in Korea.
