Jesus C. Jaile IV MD , Jacquelyn D. Brady PA , Patrick Nelson PA , Wesam Sourour MD , Melvin C. Almodovar MD , Scott Macicek MD , Timothy W. Pettitt MD , Frank A. Pigula MD
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Cardiac Resynchronization Therapy for Pacing-Related Dysfunction Post Cardiac Surgery in Neonates
An infant with DiGeorge syndrome, multiple comorbidities, and truncus arteriosus type II underwent repair complicated by heart block necessitating placement of a dual-chamber bipolar pacing system with right ventricular leads and subsequent resynchronization with placement of left ventricular apical pacing leads. Resynchronization therapy improved QRS duration from 180 ms to 100 ms and ejection fraction from 25% to 54% over the course of 4 weeks with gradual return to normal function and eventual discharge.
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