Simultaneous Cardiac Resynchronization Therapy and Mitral Valve Replacement in a Patient with Dilated Cardiomyopathy

VernacularTitle:拡張型心筋症，僧帽弁閉鎖不全症（ＩＩＩ）に対して心臓再同期療法と僧帽弁置換術を同時施行した１治験例
Author: Takashi Miura ; Imun Tei ; Takashi Oshitomi ; Kazuki Sato ; Takafumi Hashimoto ; Eiichi Tei
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 2006;35(3):177-182
CountryJapan
Language:Japanese
Abstract: We performed cardiac resynchronization therapy (CRT) in addition to mitral valve replacement (MVR) in a 66-year-old patient with dilated cardiomyopathy (DCM) associated with complete left bundle branch block (CLBBB) and mitral valve insufficiency. Tissue Doppler echocardiography showed synchronicity of the septum and lateral wall in the left ventricle after CRT. New York Heart Association functional class improved from III to I after CRT and MVR. CRT of the dyssynchronic myocardium in a patient with DCM associated with CLBBB improves regional cardiac function and synchronicity.