Key result
His-bundle pacing from the atria was successfully reported in 1 patient with prosthetic tricuspid and mitral valves lacking suitable coronary veins for lead placement.
Why the study?
Options for ventricular pacing are limited when coronary sinus lead placement fails or is unsuitable and atrial transseptal LV lead placement is precluded by a prosthetic mitral valve.
Is His-bundle pacing from the atria feasible in a patient with prosthetic tricuspid and mitral valves without suitable coronary veins?
Comparison
His-bundle pacing from the atria
Design
Case report
Authors
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May offer alternative in select prosthetic valve patients without suitable veins; hypothesis-generating, requiring prospective validation.
Case Report (n=1)
Is His-bundle pacing from the atria feasible in a patient with prosthetic tricuspid and mitral valves without suitable coronary veins?
His-bundle pacing from the atria offers a novel and feasible pacing alternative for complex patients with bilateral atrioventricular prosthetic valves and inaccessible coronary veins.
Ramos‐Maqueda et al. (2021) conducted a case report in Atrioventricular block with prosthetic tricuspid and mitral valves (n=1). His-bundle pacing from the atria was evaluated. His-bundle pacing from the atria was successfully reported in 1 patient with prosthetic tricuspid and mitral valves lacking suitable coronary veins for lead placement.
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