Cardiac resynchronization therapy-defibrillator implantation guided by electroanatomic mapping in a young adult patient with congenital heart disease

Giovanni Domenico Ciriello; Diego Colonna; Emanuele Romeo; Berardo Sarubbi

doi:10.1016/j.ipej.2022.01.003

Cardiac resynchronization therapy-defibrillator implantation guided by electroanatomic mapping in a young adult patient with congenital heart disease

Indian Pacing Electrophysiol J. 2022 Mar-Apr;22(2):108-111. doi: 10.1016/j.ipej.2022.01.003. Epub 2022 Jan 19.

Authors

Giovanni Domenico Ciriello¹, Diego Colonna², Emanuele Romeo², Berardo Sarubbi²

Affiliations

¹ Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Naples, Italy. Electronic address: gdciriello@gmail.com.
² Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Naples, Italy.

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.

Keywords: Cardiac resynchronization therapy; Congenital heart disease; Contrast dye; Electroanatomic mapping; Fluoroscopy; Heart failure.

Publication types

Case Reports