Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 33(2): 85-90 (2017)


小児重症心不全に対する内科的管理:心臓再同期療法(CRT)Cardiac Re-synchronization Therapy for Patients with Severe Heart Failure in Infancy

国立循環器病研究センター 小児循環器科Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center ◇ Osaka, Japan

発行日:2017年3月1日Published: March 1, 2017


Techniques of cardiac re-synchronization therapy (CRT) for pediatric patients differs from those in patients with and without congenital heart defects. However, despite the use of CRT implants for pediatric patients based on the conventional method used in adults with medically refractory heart failure, specific ventricular morphologies need consideration when performing CRT in cases of complex congenital heart defects. Herein we introduce a novel method for managing CRT in infants, who not only have a small body size but also need individualized determination of pacing sites and surgical implantation methods, considering ventricular morphologies and the type of dyssynchrony in patients with complex congenital heart defects. For appropriate CRT in pediatric patients with severe heart failure, integration of further perspectives in this area are desirable.

Key words: cardiac re-synchronization therapy; ventricular assist device; heart transplant; dyssynchrony

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