Key result
Cardiac resynchronization therapy with His-bundle pacing and a defibrillator was successfully performed in 1 patient with severe heart failure and Scimitar syndrome using integrated imaging.
Why the study?
Cardiac resynchronization therapy with His-bundle pacing is evolving for severe chronic heart failure, but its application facilitated by advanced integrated imaging in congenital heart disease warrants reporting.
Case Report (n=1)
Integrated imaging modalities can facilitate successful His-bundle pacing CRT-D in patients with complex congenital heart disease such as Scimitar syndrome with cardiac dextroposition.
May extend CRT options to Scimitar syndrome; hypothesis-generating and requires prospective validation.
Cardiac resynchronization therapy with His-bundle pacing is evolving rapidly as a viable cardiac device strategy for the treatment of severe chronic heart failure. The success of this technique in patients with congenital heart disease is facilitated by advanced integrated imaging modalities. We report a case of cardiac resynchronization therapy with His-bundle pacing with defibrillator for the management of a patient with heart failure with severely reduced ejection fraction, left bundle branch block, and congenital heart disease characterized by Scimitar syndrome with cardiac dextroposition. We highlight the contribution of integrated imaging modalities to guide accurate lead positioning.
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Yang et al. (2020) conducted a case report in Severe heart failure and Scimitar syndrome (n=1). Cardiac resynchronization therapy with His-bundle pacing with defibrillator (His-CRT-D) was evaluated. Cardiac resynchronization therapy with His-bundle pacing and a defibrillator was successfully performed in 1 patient with severe heart failure and Scimitar syndrome using integrated imaging.
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