Related Experiment Video

Updated: Jun 12, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

10.4K

Right-sided Cardiac Resynchronization Therapy via Left Bundle Branch Area Pacing in a Patient with Persistent Left

Can Menemencioglu1, Uğur Canpolat1

  • 1Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

The Journal of Innovations in Cardiac Rhythm Management
|June 9, 2025
PubMed

Insights

Left bundle branch area pacing (LBBAP) offers an alternative to conventional cardiac resynchronization therapy (CRT). This case study details a successful right-sided LBBAP in a patient with a persistent left superior vena cava, overcoming implantation challenges.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Cardiac resynchronization therapy (CRT) is a treatment for heart failure.
  • Left bundle branch area pacing (LBBAP) is an alternative CRT technique.
  • Persistent left superior vena cava (PLSVC) complicates standard left-sided CRT implantation.

Observation:

  • A patient with PLSVC presented challenges for standard CRT implantation.
  • Left-sided CRT implantation was not feasible due to PLSVC.
  • Right-sided CRT implantation was considered.

Findings:

  • Successful right-sided CRT implantation was achieved using LBBAP.
  • This approach overcame the anatomical challenges posed by PLSVC.
  • LBBAP proved effective in a complex patient case.

Implications:

  • Right-sided LBBAP is a viable option for patients with PLSVC.
  • This technique expands CRT options for complex anatomies.
  • Further research may validate LBBAP for challenging CRT cases.

Keywords:
Cardiac resynchronization therapyleft bundle branch area pacingpersistent left superior vena cava

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