Right Bundle Branch Area Pacing in a Patient with Congenitally Corrected Transposition of the Great Arteries Using Three-dimensional Electroanatomic Mapping.
{"title":"Right Bundle Branch Area Pacing in a Patient with Congenitally Corrected Transposition of the Great Arteries Using Three-dimensional Electroanatomic Mapping.","authors":"Serkan Cay, Hande Cetin, Serkan Topaloglu","doi":"10.19102/icrm.2025.16012","DOIUrl":null,"url":null,"abstract":"<p><p>A 35-year-old man with congenitally corrected transposition of the great arteries (ccTGA) and prior ventricular septal defect repair developed pacing-induced cardiomyopathy after 30 years of single-chamber VVI pacemaker use. Right bundle branch area pacing (RBBAP) was chosen for device upgrade due to its potential benefits over conventional cardiac resynchronization therapy. Advanced three-dimensional electroanatomic mapping was employed to navigate a synthetic patch from previous surgery and guide mid-septal electrode placement. Successful RBBAP was achieved with optimal parameters, complemented by atrial and defibrillator lead implantation. At 12 months, the patient showed improved ejection fraction (from 30% to 40%) and stable electrocardiographic results. This case illustrates the role of RBBAP and advanced mapping in addressing complex structural and conduction abnormalities in ccTGA.</p>","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"6162-6165"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784395/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Innovations in Cardiac Rhythm Management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19102/icrm.2025.16012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
A 35-year-old man with congenitally corrected transposition of the great arteries (ccTGA) and prior ventricular septal defect repair developed pacing-induced cardiomyopathy after 30 years of single-chamber VVI pacemaker use. Right bundle branch area pacing (RBBAP) was chosen for device upgrade due to its potential benefits over conventional cardiac resynchronization therapy. Advanced three-dimensional electroanatomic mapping was employed to navigate a synthetic patch from previous surgery and guide mid-septal electrode placement. Successful RBBAP was achieved with optimal parameters, complemented by atrial and defibrillator lead implantation. At 12 months, the patient showed improved ejection fraction (from 30% to 40%) and stable electrocardiographic results. This case illustrates the role of RBBAP and advanced mapping in addressing complex structural and conduction abnormalities in ccTGA.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
