High-density mapping-guided corrective HIS bundle pacing after failed CRT upgrade for persistent left superior vena cava.
Pacing Clin Electrophysiol
; 43(7): 763-767, 2020 07.
Article
en En
| MEDLINE
| ID: mdl-32359082
ABSTRACT
In patients with persistent left superior vena cava (PLSVC), transvenous device implantation for cardiac resynchronization therapy (CRT) may be challenging. We present a complex case with successful, high-density electroanatomic mapping (EAM) guided corrective His bundle pacing (CHBP) following failed CRT upgrade in a patient with PLSVC, congenital heart disease, and pacing-associated heart failure. CHBP restored physiological conduction in left bundle branch block with complete conduction block leading to clinical improvement and cardiac remodeling. The presented case supports the growing evidence that EAM-guided CHBP may be considered a feasible alternative to conventional CRT when venous anatomy is not favorable for left ventricular lead implantation.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Bloqueo de Rama
/
Fascículo Atrioventricular
/
Mapeo Epicárdico
/
Terapia de Resincronización Cardíaca
/
Vena Cava Superior Izquierda Persistente
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Cardiopatías Congénitas
/
Insuficiencia Cardíaca
Tipo de estudio:
Etiology_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Pacing Clin Electrophysiol
Año:
2020
Tipo del documento:
Article
País de afiliación:
Alemania