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Interventricular dyssynchrony in a patient with a biventricular physiology and a systemic right ventricle

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Abstract

We describe of a unique pattern of cardiac dyssynchrony in a patient with a biventricular physiology and systemic right ventricle (RV): the interventricular dyssynchrony due to a contraction delay between the left ventricle and RV. In the present case, the cineangiography and intracardiac electrocardiography of the RV did not reveal intraventricular dyssynchrony of the RV, but revealed interventricular dyssynchrony. In addition, the pressure curves of the ventricles exhibited time phase differences between the two ventricles. The cardiac resynchronization therapy determining the pacing lead positions based on the idea of interventricular dyssynchrony induced reverse cardiac remodeling in this patient with systemic RV dysfunction.

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Acknowledgments

The authors wish to express their gratitude to Mr. John Martin for his assistance in preparing the manuscript.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan

    Aya Miyazaki, Heima Sakaguchi, Kanae Noritake, Yosuke Hayama, Jun Negishi & Hideo Ohuchi

  2. Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan

    Koji Kagisaki & Hajime Ichikawa

  3. Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan

    Kenji Yasuda

Authors
  1. Aya Miyazaki
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  2. Heima Sakaguchi
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  3. Kanae Noritake
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  4. Yosuke Hayama
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  5. Jun Negishi
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  6. Koji Kagisaki
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  7. Kenji Yasuda
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  8. Hajime Ichikawa
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  9. Hideo Ohuchi
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Corresponding author

Correspondence to Aya Miyazaki.

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Ethical standards

All procedures contributing to this work were performed under given the informed consent, and were complied with the ethical standards of the relevant national guidelines on human experimentation (Japan) and with the Helsinki Declaration of 1975 (as revised in 2008). Also this study was approved by the institutional ethics committees (M25-021). The authors have no financial conflicts of interest to disclose concerning this study.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary file 1A. The anteroposterior view of the right ventriculography before the cardiac resynchronization therapy (MPG 2675 kb)

Supplementary file 1B. The lateral view of the right ventriculography before the cardiac resynchronization therapy (MPG 2675 kb)

Supplementary file 2A. The anteroposterior view of the right ventriculography 6 months after the cardiac resynchronization therapy (MPG 2996 kb)

Supplementary file 2B. The lateral view of the right ventriculography 6 months after the cardiac resynchronization therapy (MPG 2996 kb)

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Miyazaki, A., Sakaguchi, H., Noritake, K. et al. Interventricular dyssynchrony in a patient with a biventricular physiology and a systemic right ventricle. Heart Vessels 32, 234–239 (2017). https://doi.org/10.1007/s00380-016-0876-0

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  • DOI: https://doi.org/10.1007/s00380-016-0876-0

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