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June 1, 2026Frontiers in Cardiovascular Medicine0 citationsOpen Access

Case Report: Leadless pacemaker implantation in patient with Senning procedure for dextro-transposition of the great arteries

HKHope KileSFSteven Fishberger

Key Result

Implantation of a Micra AV leadless pacemaker into the subpulmonary left ventricle was feasible and provided effective ventricular pacing in a patient with d-TGA post-Senning procedure.

Key Points

  • To describe the implantation of a leadless pacemaker in a patient with dextro-transposition of the great arteries and high grade AV block.
  • Implantation of the Micra AV leadless pacemaker into the sub pulmonary left ventricle.
  • The patient had a history of Senning procedure for dextro-transposition of the great arteries.
  • Successful placement of the Micra AV leadless pacemaker was achieved.
  • The case discusses challenges and considerations for pacing in patients with a history of Senning procedure.
  • Benefits and drawbacks of leadless pacing technology in this patient population are reviewed.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
1 patient with dextro-transposition of the great arteries (d-TGA) who underwent a Senning procedure and had high grade AV block
I
Intervention
Micra AV leadless pacemaker placement into the sub pulmonary left ventricle

Demonstrates the feasibility of leadless pacemaker implantation in the sub pulmonary left ventricle for patients with d-TGA post-Senning procedure.

Limitations

  • Atrial sensing proved unreliable, requiring the device to be programmed in VVI mode.
  • The smooth-walled structure of the left ventricle makes appropriate positioning and fixation of the leadless pacemaker challenging.
  • Unknown long-term consequences regarding the maximum number of devices that can be safely placed in the left ventricle over a patient's lifetime.

Abstract

Patients with dextro-transposition of the great arteries (d-TGA) who have underwent a Mustard or Senning procedure offer unique challenges when pacing needs to be established. This case report describes the Micra AV TM leadless pacemaker placement into the sub pulmonary left ventricle in a patient with d-TGA who had high grade AV block, as well as discusses the benefits and drawbacks of using this device within this population.

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Cite This Study

Kile et al. (2026) conducted a case report in Dextro-transposition of the great arteries (d-TGA) post-Senning procedure with high-grade AV block (n=1). Micra AV leadless pacemaker was evaluated on Successful implantation and device function. Implantation of a Micra AV leadless pacemaker into the subpulmonary left ventricle was feasible and provided effective ventricular pacing in a patient with d-TGA post-Senning procedure.

synapsesocial.com/papers/6a1d20bc02fbce9130637153https://doi.org/10.3389/fcvm.2026.1809265
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