Upgrade to left bundle branch area pacing reversed pacing-induced cardiomyopathy and unmasked true severe aortic stenosis, followed by successful surgical valve replacement and percutaneous VSD closure.
Case Report (n=1)
No
LBBAP upgrade can reverse pacing-induced cardiomyopathy and unmask true severe aortic stenosis, while complex post-surgical structural complications like iatrogenic VSD can be effectively treated percutaneously.
Doğan et al. (Thu,) conducted a case report in Pacing-induced cardiomyopathy, low-flow low-gradient aortic stenosis, and post-AVR iatrogenic VSD (n=1). Left bundle branch area pacing (LBBAP) upgrade, surgical AVR, and percutaneous VSD closure was evaluated. Upgrade to left bundle branch area pacing reversed pacing-induced cardiomyopathy and unmasked true severe aortic stenosis, followed by successful surgical valve replacement and percutaneous VSD closure.