Left Bundle Branch Pacing in a Patient With Dextroposed Heart: A Case Report
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.
Authors
- Amit Malviya (ORCID: https://orcid.org/0000-0002-3326-6177)
- Ashesh Halder (ORCID: https://orcid.org/0000-0001-6040-6932)
- Pinak Pani Das (ORCID: https://orcid.org/0000-0001-8187-5631)
- Dilip Kumar (ORCID: https://orcid.org/0000-0002-8631-4371)
- A. K. Pandey (ORCID: https://orcid.org/0000-0002-0747-5282)
- Rabin Chakraborty
- Subhro Sekhar Chakraborty
- Rinchin Dorjee Meegeji
Institutions
- North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (IN)
- Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital (IN)
- Nethradhama Superspeciality Eye Hospital (IN)
- Institute of Medical Sciences (IN)
Publication Details
- Journal
- Clinical Case Reports
- Published
- 2025-04-01
- DOI
- https://doi.org/10.1002/ccr3.70284
- Primary Topic
- Cardiac pacing and defibrillation studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00