左束支导线植入术后并发室间隔血肿：覆膜支架治疗

Interventricular Septal Hematoma Complicating Left Branch Bundle Lead Implantation: Treatment by Covered Stent.

作者信息

Del Castillo César, Van-Grieken Jorge, Coello Marco, Torres-Herrera Carlos, Clericus Barbara, Requena Daniel, Begazo Arnulfo, Appiani Franco, Kuzmicic Boris, Varleta Paola

机构信息

Cardiovascular Center, Hospital DIPRECA, Santiago, Chile.

Internal Medicine Fellowship, Postgraduate Department, Universidad Diego Portales, Santiago, Chile.

出版信息

JACC Case Rep. 2023 Oct 28;28:102087. doi: 10.1016/j.jaccas.2023.102087. eCollection 2023 Dec 20.

We present a female patient with heart failure with reduced ejection fraction who underwent left bundle branch cardiac resynchronization therapy. Left bundle branch lead implantation was complicated with septal branch perforation causing an iatrogenic coronary fistula complicated by septal hematoma formation and development of shock. Occlusion by covered stents was successfully achieved.