Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report
ABSTRACT The Right Ventricular (RV) apex has been the standard site for pacing in symptomatic bradyarrhythmias, but chronic RV pacing can cause adverse effects such as atrial arrhythmias and left ventricular dysfunction. Physiological pacing, including His bundle and left bundle pacing, offers alter...
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| Format: | Article |
| Language: | English |
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Wiley
2025-04-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70284 |
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| author | Dilip Kumar Amit Malviya Rabin Chakraborty Ashesh Halder Subhro Sekhar Chakraborty Anand Kumar Pandey Pinak Pani Das Rinchin Dorjee Meegeji |
| author_facet | Dilip Kumar Amit Malviya Rabin Chakraborty Ashesh Halder Subhro Sekhar Chakraborty Anand Kumar Pandey Pinak Pani Das Rinchin Dorjee Meegeji |
| author_sort | Dilip Kumar |
| collection | DOAJ |
| description | ABSTRACT The Right Ventricular (RV) apex has been the standard site for pacing in symptomatic bradyarrhythmias, but chronic RV pacing can cause adverse effects such as atrial arrhythmias and left ventricular dysfunction. Physiological pacing, including His bundle and left bundle pacing, offers alternatives with fewer complications. We present a 66‐year‐old male with a dextroposed heart and fibrotic right lung requiring left bundle branch pacing due to a high RV pacing burden. The procedure involved modified lead placement and a medial subclavian vein puncture, successfully achieving good electrical parameters and post‐procedural device function, highlighting left bundle branch pacing's feasibility in complex anatomical conditions. |
| format | Article |
| id | doaj-art-79071b36b09d44dcabfe7d5763d05a03 |
| institution | OA Journals |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-79071b36b09d44dcabfe7d5763d05a032025-08-20T02:18:33ZengWileyClinical Case Reports2050-09042025-04-01134n/an/a10.1002/ccr3.70284Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case ReportDilip Kumar0Amit Malviya1Rabin Chakraborty2Ashesh Halder3Subhro Sekhar Chakraborty4Anand Kumar Pandey5Pinak Pani Das6Rinchin Dorjee Meegeji7Medica Superspecialty Hospital Medica Institute of Cardiology Services Kolkata IndiaDepartment of Cardiology North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences Shillong IndiaMedica Institute of Cardiac Science Kolkata IndiaMedica Superspecialty Hospital Medica Institute of Cardiology Services Kolkata IndiaAtal Bihari Vajpayee Institute of Medical Sciences & Dr Ram Manohar Lohia Hospital New Delhi IndiaMedica Institute of Cardiac Science Kolkata IndiaDepartment of Cardiology North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences Shillong IndiaDepartment of Cardiology Tomo Riba Institute of Health and Medical Sciences Naharlagun IndiaABSTRACT The Right Ventricular (RV) apex has been the standard site for pacing in symptomatic bradyarrhythmias, but chronic RV pacing can cause adverse effects such as atrial arrhythmias and left ventricular dysfunction. Physiological pacing, including His bundle and left bundle pacing, offers alternatives with fewer complications. We present a 66‐year‐old male with a dextroposed heart and fibrotic right lung requiring left bundle branch pacing due to a high RV pacing burden. The procedure involved modified lead placement and a medial subclavian vein puncture, successfully achieving good electrical parameters and post‐procedural device function, highlighting left bundle branch pacing's feasibility in complex anatomical conditions.https://doi.org/10.1002/ccr3.70284bradyarrhythmiachronic right ventricular pacingdextroposed hearthis bundle pacingleft bundle pacing |
| spellingShingle | Dilip Kumar Amit Malviya Rabin Chakraborty Ashesh Halder Subhro Sekhar Chakraborty Anand Kumar Pandey Pinak Pani Das Rinchin Dorjee Meegeji Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report Clinical Case Reports bradyarrhythmia chronic right ventricular pacing dextroposed heart his bundle pacing left bundle pacing |
| title | Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report |
| title_full | Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report |
| title_fullStr | Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report |
| title_full_unstemmed | Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report |
| title_short | Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report |
| title_sort | left bundle branch pacing in a patient with dextroposed heart a case report |
| topic | bradyarrhythmia chronic right ventricular pacing dextroposed heart his bundle pacing left bundle pacing |
| url | https://doi.org/10.1002/ccr3.70284 |
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