大动脉
医学
心脏病学
内科学
捆绑
校正换位
心脏传导系统
心脏病
心室起搏
解剖
换位(逻辑)
作者
Michael Chi Yuan Nam,Leeanne Grigg,Irene H. Stevenson
标识
DOI:10.1016/j.jelectrocard.2021.03.005
摘要
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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