Permanent nonselective His bundle pacing in an adult with L-transposition of the great arteries and complete AV block.
Adam C KeanW Aaron KayJyoti K PatelJohn M MillerGopi DandamudiPublished in: Pacing and clinical electrophysiology : PACE (2017)
We report the placement of a permanent transvenous nonselective His bundle pacing lead in conjunction with a transvenous pacemaker/implantable cardioverter-defibrillator in an adult with Levo-Transposition of the Great Arteries (L-TGA) and a stenotic coronary sinus (CS) ostium, which would not accommodate a transvenous left ventricular (LV) pacing lead. Nonselective His bundle pacing provided a nearly identical ventricular activation pattern in this previously unpaced patient. Many L-TGA patients will have an eventual need for permanent pacing and, given the challenges of CS cannulation, His bundle pacing may represent a preferred modality rather than pure morphologic LV pacing or surgical systemic ventricular lead placement to achieve optimal electrical synchrony.
Keyphrases
- cardiac resynchronization therapy
- left ventricular
- heart failure
- hypertrophic cardiomyopathy
- aortic stenosis
- end stage renal disease
- acute myocardial infarction
- ejection fraction
- coronary artery
- ultrasound guided
- mitral valve
- prognostic factors
- blood flow
- peritoneal dialysis
- drug induced
- pulmonary embolism
- transcatheter aortic valve replacement
- catheter ablation
- aortic valve