Guiding Pacemaker Implantation With Multimodality Imaging in an Adult With Ventricular Septal Defect

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Complete heart block in adult congenital heart disease (n=1). Intervention: Multimodality imaging-guided pacemaker implantation.

Q: What does this research mean for the field?

Multimodality imaging facilitates safer and more precise pacemaker lead implantation in adult congenital heart disease patients with abnormal septal anatomy. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Amarpal Karamjit Singh; Charles Eastwood; Chiew Ying Wong

doi:10.1016/j.jaccas.2026.109782

August 12, 2026JACC Case ReportsOpen Access

Guiding Pacemaker Implantation With Multimodality Imaging in an Adult With Ventricular Septal Defect

View Full Paper

Ask AI

Bookmark

Share

Key result

Multimodality imaging guides safe, precise pacemaker implantation in complex congenital heart block.

n=1

Graphical abstract published by JACC Case Reports — Graphical abstract · Published by JACC Case Reports · CC BY-NC-ND 4.0

Why the study?

Pacemaker implantation in adult congenital heart disease with abnormal septal anatomy requires preprocedural planning to improve procedural safety and lead positioning.

Does multimodality imaging improve the safety and precision of pacemaker implantation in adult patients with congenital heart disease and abnormal septal anatomy?

Key Points

To describe the utility of preprocedural multimodality imaging for planning and executing safe pacemaker implantation in an adult with congenital heart disease.
Evaluated a 57-year-old male with congenital ventricular septal defect, bicuspid aortic valve, and prior aortic coarctation repair who developed complete heart block.
Used preprocedural multimodality imaging to evaluate complex septal anatomy and determine the optimal lead placement strategy.
Complete heart block with a junctional escape rhythm required urgent pacemaker implantation.
Preprocedural imaging successfully guided lead positioning, reducing procedural complexity and improving procedural safety in the setting of abnormal septal architecture.

Study Design

Type

Case Report (n=1)

Structured PICO

Does multimodality imaging improve the safety and precision of pacemaker implantation in adult patients with congenital heart disease and abnormal septal anatomy?

P

Population

A 57-year-old man with a history of congenital ventricular septal defect, bicuspid aortic valve, and repaired aortic coarctation presenting with complete heart block.

I

Intervention

Preprocedural planning using multimodality imaging to guide pacemaker implantation

O

Outcome

Procedural difficulty, safety, and optimal lead positioning

Multimodality imaging is a valuable tool for preprocedural planning to facilitate safer and more precise pacemaker implantation in adult patients with complex congenital heart disease.

Implication

Pacemaker implantation in adult congenital heart disease with atrioventricular block warrants preprocedural planning; leaves open optimal multimodality imaging protocols in complex septal anatomy.

Abstract

CASE SUMMARY: A 57-year-old man with a history of congenital ventricular septal defect and bicuspid aortic valve with surgical repair of aortic coarctation presented with dyspnea and found to be in complete heart block with junctional escape rhythm necessitating pacemaker implantation. DISCUSSION: Pacemaker implantation in adult congenital heart disease and atrioventricular block requires preprocedural planning. Multimodality imaging is important in patients with complex septal anatomy, as it can reduce procedural difficulty and improve procedural safety by identifying optimal lead positioning strategies. TAKE-HOME MESSAGE: Multimodality imaging can facilitate safer and more precise pacemaker implantation in adult patients with congenital heart disease with abnormal septal anatomy.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Singh et al. (2026) conducted a case report in Complete heart block in adult congenital heart disease (n=1). Multimodality imaging-guided pacemaker implantation was evaluated. Multimodality imaging successfully guided safe and precise pacemaker implantation in a 57-year-old man with complete heart block and complex congenital septal anatomy.

synapsesocial.com/papers/6ad0fca13afa093ea9acff70 https://doi.org/10.1016/j.jaccas.2026.109782

View Full Paper

Ask AI

Bookmark

Share

Guiding Pacemaker Implantation With Multimodality Imaging in an Adult With Ventricular Septal Defect

Key Points

Study Design

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Guiding Pacemaker Implantation With Multimodality Imaging in an Adult With Ventricular Septal Defect

Key Points

Study Design

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Keep reading

More related papers

More from JACC Case Reports

Keep reading

More related papers

More from JACC Case Reports