Temporary use of leadless pacemaker as a bridge to cardiac resynchronisation therapy: a case report of fulminant myocarditis.

ABSTRACT:

Background

Fulminant myocarditis can result in persistent severe left ventricular dysfunction and complete atrioventricular block (AVB), necessitating cardiac resynchronisation therapy (CRT). However, direct CRT implantation can be sometimes challenging in the context of intensive mechanical circulatory support and systemic steroid therapy, where the risks of procedure-related bleeding and infection are significantly heightened.

Case summary

This report describes a 64-year-old woman with fulminant myocarditis, severe left ventricular dysfunction, and persistent complete AVB, who was initially managed with extracorporeal membrane oxygenation and the Impella 5.5, along with temporary pacing. Due to the high risks of infection and bleeding, we implanted a leadless pacemaker (Mi

SUBMITTER: Yamamoto R 

PROVIDER: S-EPMC12301293 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature