Key result
His-bundle pacing (His-CRT) was successfully used to manage a patient with severe heart failure and Scimitar syndrome, with accurate lead positioning guided by integrated imaging modalities.
Why the study?
His-bundle pacing for cardiac resynchronization therapy is an evolving strategy for severe chronic heart failure, but its application in congenital heart disease facilitated by integrated imaging requires clinical reporting.
Case Report (n=1)
His-CRT with integrated imaging may be feasible in Scimitar syndrome; hypothesis-generating for complex congenital heart disease.
Cardiac resynchronization therapy with His-bundle pacing (His-CRT) 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 His-CRT pacing 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). His-bundle pacing (His-CRT) was evaluated. His-bundle pacing (His-CRT) was successfully used to manage a patient with severe heart failure and Scimitar syndrome, with accurate lead positioning guided by integrated imaging modalities.
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