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Europace Advance Access originally published online on January 31, 2009
Europace 2009 11(4):530-532; doi:10.1093/europace/eun388
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Transvenous cardiac resynchronization therapy in complex congenital heart diseases: dextrocardia with transposition of the great arteries after Mustard operation

Peter A. Zartner1,*, Walter Wiebe1, Marius Volkmer2, Daniel Thomas3 and Martin Schneider1

1 German Paediatric Heart Centre, Department of Cardiology, Sankt Augustin, Germany; 2 Center for Electrophysiology Heart Center, Bremen, Germany; 3 University of Bonn, Department of Radiology, Bonn, Germany

Cardiac resynchronization therapy revealed first promising results in patients with a congenital heart disease and a systemic right ventricle. Contrast-enhanced magnetic resonance imaging showed accessibility of the coronary sinus in an 18-year-old male patient with mirror dextrocardia, D-transposition of the great arteries and ventricular septal defect (VSD) after Mustard operation and VSD patch closure. In literatures, transvenous lead placement is discussed in this anatomical setting, with opposed position of the ventricular leads and reliable lead characteristics.

* Corresponding author: Deutsches Kinderherzzentrum Sankt Augustin, Abteilung für Kardiologie, Arnold-Janssen-Str. 29, D-53757 Sankt Augustin, Germany. Tel: +49 2241 249 653, Fax: +49 2241 249 652, Email: p.zartner{at}asklepios.com


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P. A. Scott and P. R. Roberts
Cardiac resynchronization therapy upgrade in a patient with dextrocardia and situs inversus
Europace, November 1, 2009; 11(11): 1562 - 1563.
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