Permanent nonselective His bundle pacing in an adult with L-transposition of the great arteries and complete AV block

Adam C. Kean, W. Aaron Kay, Jyoti K. Patel, John M. Miller, Gopi Dandamudi

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

We report the placement of a permanent transvenous nonselective His bundle pacing lead in conjunction with a transvenous pacemaker/implantable cardioverter-defibrillator in an adult with Levo-Transposition of the Great Arteries (L-TGA) and a stenotic coronary sinus (CS) ostium, which would not accommodate a transvenous left ventricular (LV) pacing lead. Nonselective His bundle pacing provided a nearly identical ventricular activation pattern in this previously unpaced patient. Many L-TGA patients will have an eventual need for permanent pacing and, given the challenges of CS cannulation, His bundle pacing may represent a preferred modality rather than pure morphologic LV pacing or surgical systemic ventricular lead placement to achieve optimal electrical synchrony.

Original languageEnglish (US)
Pages (from-to)1313-1317
Number of pages5
JournalPACE - Pacing and Clinical Electrophysiology
Volume40
Issue number11
DOIs
StatePublished - Nov 2017
Externally publishedYes

Keywords

  • L-TGA
  • adult congenital heart disease
  • complete heart block
  • congenitally corrected TGA
  • nonselective His bundle pacing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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