Inadvertent septal perforation during conduction system pacing device implant: a case report.

ABSTRACT:

Background

There has been recent growing interest in the use of conduction system pacing (CSP) for both bradycardia and heart failure indications. There remains a paucity of data, however, regarding complications related to the intraventricular septum associated with CSP implant and the management of these events.

Case summary

We present a case of a patient with non-ischemic dilated cardiomyopathy presenting for cardiac resynchronization therapy in whom left bundle branch area pacing was complicated with interventricular septal perforation and managed intra-procedurally with repositioning of the lead to provide His bundle pacing (HBP) for QRS correction of underlying left bundle branch block. Post-procedure echocardiography did not show persistent ventricular septal defect.

SUBMITTER: Shtembari J 

PROVIDER: S-EPMC10946411 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature