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KMID : 0191120120270121595
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Journal of Korean Medical Science
2012 Volume.27 No. 12 p.1595 ~ p.1597
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Thoracoscopic Left Ventricular Lead Implantation in Cardiac Resynchronization Therapy
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Jeong Dong-Seop
Park Pyo-Won
Lee Young-Tak
Park Seung-Jung
Kim June-Soo
On Young-Keun
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Abstract
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Cardiac resynchronization therapy is known to reduce morbidity and mortality in patients with advanced heart failure as a result of dyssynchrony and systolic dysfunction of the left ventricle. Placement of the left ventricular (LV) lead via the coronary sinus can be difficult. When LV lead implantation is difficult, a video-assisted epicardial approach can be a good alternative. Although there are several reports of video-assisted epicardial LV lead implantation, mini-thoracotomy and lead implantation under direct vision have been used in most series. A 49-yr-old woman with dilated cardiomyopathy underwent the video-assisted epicardial LV lead implantation because percutaneous transvenous approach was difficult due to small cardiac veins. The patient was discharged without problems and showed improved cardiac function at the 3 follow-up months. We report the first successful total thoracoscopic LV lead implantation (without mini-thoracotomy) in Korea.
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KEYWORD
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Cardiac Resynchronization Therapy, Thoracoscopy
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