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Updated: Jun 26, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Permanent biventricular ICD-implantation in a heart failure second re-do-CABG patient: a case report
Omer Dzemali1, Nadejda Monsefi, Anton Moritz
1Department of Thoracic & Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. dzemali@em.uni-frankfurt.de.
Abstract:
Biventricular pacing has been suggested in end-stage heart failure. We present a 59-year-old patient undergoing second re-do CABG (coronary artery bypass graft) and carotid artery endarterectomy. Ejection fraction was 15%, QRS-width 175 ms. Following the carotid and CABG procedure, an implanted single-chamber ICD (implantable cardioverter defibrillator) was upgraded to permanent biventricular DDD pacing by implantation of one epicardial left ventricular and one epicardial atrial electrode. At follow-up two months postoperatively ejection fraction had significantly improved to 45%, the patient underwent stress test with adequate load and reported a good quality of life.
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