Case Report
Permanent biventricular ICD-implantation in a heart failure second re-do-CABG patient: a case report
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* Corresponding author: Omer Dzemali dzemali@em.uni-frankfurt.de
Department of Thoracic & Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
Cases Journal 2009, 2:59 doi:10.1186/1757-1626-2-59
Published: 15 January 2009Abstract
Biventricular pacing has been suggested in end-stage heart failure. We present a 59-year-old patient undergoing second re-do CABG (coronary artery bypass graft) and carotid artery endarterectomy. Ejection fraction was 15%, QRS-width 175 ms. Following the carotid and CABG procedure, an implanted single-chamber ICD (implantable cardioverter defibrillator) was upgraded to permanent biventricular DDD pacing by implantation of one epicardial left ventricular and one epicardial atrial electrode. At follow-up two months postoperatively ejection fraction had significantly improved to 45%, the patient underwent stress test with adequate load and reported a good quality of life.