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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


FUENTES VALDES, Edelberto et al. Video-assisted thoracic surgery used in the cardiac re-synchronizartion therapy. Rev Cubana Cir [online]. 2010, vol.49, n.1. ISSN 0034-7493.

This is the first case of cardiac re-synchronization therapy (CRT) operated on the "Hermanos Ameijeiras" Clinical Surgical Hospital using video-assisted thoracic surgery. Patient is a man aged 67 presenting with a dilated myocardiopathy with severe left ventricular systolic dysfunction. At admission he showed a clinical picture of advanced cardiac insufficiency, thus, we considered the prescription of a CRT. After the failure of the percutaneous therapy for placing a electrode in a epicardiac vein of left ventricle, we decide the minimal invasive surgical approach. The epicardiac electrode implantation by thoracic surgery was a safe procedure without transoperative and postoperative complications. We have knowledge that this is the first time that a video-thoracoscopy in Cardiovascular Surgery is performed in Cuba.

Keywords : Cardiac insufficiency; ventricular re-synchronization; video-assisted thoracic surgery; pacemaker ipicardic electrode.

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