Abstract
CRT is a valuable tool for treating dyssynchrony associated acute and chronic heart failure in patients with paediatric or congenital heart disease. The anatomic and functional heterogeneity of this population calls for individual approaches in both the indication process and CRT implementation.
Achievable results depend on the underlying substrate but may reach up to successful discontinuation from cardiopulmonary bypass in the acute postoperative heart failure setting, complete reverse remodelling of the systemic ventricle in permanent CRT, or delisting from the heart transplant waiting list. Ventricular dyssynchrony is generally a correctable cause of ventricular dysfunction and should not be forgotten in any patient with acute or chronic heart failure.
Available paediatric review articles may be of further help to the interested reader.