Guiding Pacemaker Implantation With Multimodality Imaging in an Adult With Ventricular Septal Defect

Area of Science:

• Cardiology
• Medical Devices

Background:

• Adult congenital heart disease (ACHD) presents unique challenges for cardiovascular interventions.
• Complete heart block and atrioventricular block are significant complications in ACHD patients.

Purpose of the Study:

• To highlight the importance of preprocedural planning for pacemaker implantation in ACHD patients.
• To emphasize the role of multimodality imaging in optimizing lead placement and procedural safety.

Main Methods:

• Case presentation of a 57-year-old male with complex congenital heart disease.
• Utilized multimodality imaging to assess complex septal anatomy.
• Performed pacemaker implantation guided by imaging findings.

Main Results:

• Successful pacemaker implantation was achieved.
• Preprocedural planning and multimodality imaging facilitated identification of optimal lead positioning.
• Procedural difficulty and risk were potentially reduced.

Conclusions:

• Pacemaker implantation in ACHD with atrioventricular block necessitates thorough preprocedural evaluation.
• Multimodality imaging is crucial for navigating complex septal anatomy, enhancing safety and precision.
• Advanced imaging techniques improve outcomes in challenging pacemaker procedures for ACHD.