Cardiac Resynchronization Therapy as an ‘Alternative’ Approach to a Non-Operable Severe Aortic Stenosis with Left Ventricular Dysfunction

Francesco Antonini-Canterin, Ferdinando Baldessin, Marco Brieda, Ermanno Dametto, Enzo Hrovatin, Fabio Zardo, Gian Luigi Nicolosi
Cardiologia, ARC, Azienda Ospedaliera S. Maria degli Angeli, Pordenone, Italy

 

Severe symptomatic aortic stenosis (AS) is an indication for surgical replacement of the aortic valve in adults. Patients are often affected by comorbidities, and the surgical indication is sometimes problematic. Non-surgical techniques have been developed during the past few years, though their roles have not yet been established. Cardiac resynchronization therapy has been shown

to be effective in selected patients, but no data yet exist on the role of this therapy in AS patients. The case is presented of a patient with non-operable severe symptomatic AS and cardiac dissynchrony who showed significant improvement following the implantation of a biventricular pacemaker.
The Journal of Heart Valve Disease 2006;15:206-208

 
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