Direct His-bundle Pacing in a Patient with a Persistent Left Superior Vena Cava
Amrish Deshmukh1, Tasha Wadsworth2, Pramod Deshmukh2
1Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Samuel and Jean Frankel Cardiovascular Center, Ann Arbor, MI, USA.
Abstract:
We report a case of direct His-bundle lead placement at the time of implantable cardioverter-defibrillator insertion and atrioventricular node ablation. The patient was found to have an isolated persistent left superior vena cava, and selective His-bundle pacing was successfully achieved through the use of a steerable sheath and dedicated mapping catheter.
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