Unveiling Rarity: Giant Septal Coronary Vein Dissection, an Unforeseen Twist in Complications of Left Bundle Branch Area Pacing.

作者信息

Chokesuwattanaskul Ronpichai, Tumkosit Monravee, Jongnarangsin Krit

机构信息

Department of Medicine, Faculty of Medicine, Cardiac Center, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Thai Red Cross Society, Bangkok, Thailand.

Center of Excellence in Arrhythmia Research Chulalongkorn University, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

J Innov Card Rhythm Manag. 2025 Feb 15;16(2):6184-6186. doi: 10.19102/icrm.2025.16022. eCollection 2025 Feb.

DOI:10.19102/icrm.2025.16022

PMID:40052009

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11882116/

Abstract

Left bundle branch area pacing (LBBAP) is a promising pacing technique aimed at mitigating pacing-induced cardiomyopathy; however, a gap in understanding persists concerning intraprocedural complications and their management. This case study sheds light on a rare complication associated with LBBAP. Through sheath penetration into the interventricular septum at a typical site, a septogram revealed the dissection of a large septal coronary vein. Herein, we propose the management strategy and its outcome.

摘要