Fortuitous Left Bundle Branch Area Pacing in a Small Child.
1Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
JACC. Case Reports
|November 26, 2021
Summary
Deep septal pacing, a novel cardiac pacing method, was inadvertently achieved in a child. This case suggests potential feasibility for future pediatric studies exploring this advanced technique.
Area of Science:
- Cardiology
- Pediatric Electrophysiology
- Cardiac Pacing
Background:
- Physiologic pacing aims to mimic the heart's natural electrical conduction.
- Deep septal pacing is an emerging strategy for achieving more natural cardiac pacing in adults.
- Lead placement in the interventricular septum is crucial for effective pacing.
Observation:
- A case study involving a small child requiring cardiac pacing.
- Routine lead deployment was performed, targeting the interventricular septum.
- Unexpected left bundle branch capture was observed during the procedure.
Findings:
- Inadvertent left bundle branch capture was successfully achieved in a pediatric patient.
- This occurred during standard lead placement in a thin septal wall.
- The septal lead placement demonstrated an alternative method for achieving conduction system pacing.
Implications:
- This case highlights the potential for deep septal pacing in pediatric populations.
- Further research is warranted to explore the feasibility and safety of this technique in children.
- Left bundle branch area pacing may offer a more physiologic pacing option for pediatric patients.
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