AI Article Synopsis

  • Patients with congenitally corrected transposition of the great arteries (CCTGA) often experience heart conduction issues early in life.
  • Studies suggest that specialized pacing techniques can improve heart function in these patients.
  • A case is presented of a young female patient with CCTGA who successfully received left bundle branch pacing using a standard approach, eliminating the need for advanced mapping techniques.

Article Abstract

Patients with congenitally corrected transposition of the great arteries (CCTGA) are susceptible to acquired atrioventricular conduction disease in early life. Emerging studies propose that conduction system pacing either by His bundle pacing or bundle branch pacing is advantageous in this population. The anatomical abnormality of CCTGA conveniently positions the left bundle branches on the easily accessible right ventricular septal side. We present a case of a young female CCTGA patient with exercise-induced heart block who received left bundle branch area pacing with the ventricular lead implanted at the conventional right ventricular septal approach without the need for 3-dimensional electroanatomical mapping.

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Source
http://dx.doi.org/10.1016/j.jelectrocard.2021.03.005DOI Listing

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