Cited 19 times since 2008 (1.6 per year) source: Scopus The Annals of thoracic surgery, Volume 85, Issue 6, 01 June 2008, Pages 2136-2138 Cardiac resynchronization therapy for the failing Fontan patient. Sojak V, Mazic U, Cesen M, Schrader J, Danojevic N
Myocardial dysfunction is the leading cause of death in single-ventricle patients. Heart transplantation has traditionally been reserved for Fontan patients with end-stage myocardial dysfunction. Cardiac resynchronization therapy with multisite pacing was found to improve the myocardial performance in Fontan patients in acute postoperative settings; however, its role is unclear in chronic Fontan patients with progressive myocardial dysfunction. We present a case in which cardiac resynchronization therapy improved both hemodynamics and clinical condition in a Fontan patient with advanced myocardial dysfunction.