Key result
LBBAP is linked to rare giant septal coronary vein dissection due to sheath penetration.
Why the study?
A gap in understanding persists concerning intraprocedural complications and their management during left bundle branch area pacing.
What is the management strategy and outcome for giant septal coronary vein dissection during left bundle branch area pacing?
Case Report (n=1)
What is the management strategy and outcome for giant septal coronary vein dissection during left bundle branch area pacing?
This case report highlights a rare intraprocedural complication of left bundle branch area pacing (septal coronary vein dissection) and proposes a management strategy.
Recognizes septal vein dissection risk during LBBAP; single case leaves open incidence and standardized management.
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.
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Chokesuwattanaskul et al. (2025) conducted a case report in Giant septal coronary vein dissection during left bundle branch area pacing (n=1). Left bundle branch area pacing (LBBAP) was evaluated on Management strategy and outcome of septal coronary vein dissection. Left bundle branch area pacing was associated with a rare complication of giant septal coronary vein dissection due to sheath penetration into the interventricular septum.
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