Left bundle branch pacing in a patient with decreased cardiac function after transcatheter aortic valve replacement.
10.3724/zdxbyxb-2024-0359
- Author:
Xinghong LI
1
,
2
;
Jubo JIANG
3
;
Sheng'an SU
3
;
Fang ZHOU
2
,
4
Author Information
1. Department of Cardiology, Songyang Branch, the Second Affiliated Hospital, Zhejiang University School of Medicine, Lishui 323400, Zhejiang Province, China. lixhongsy@
2. com.
3. Department of Cardiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.
4. Department of Cardiology, Songyang Branch, the Second Affiliated Hospital, Zhejiang University School of Medicine, Lishui 323400, Zhejiang Province, China. kj4566@
- Publication Type:English Abstract
- Keywords:
Aortic insufficiency;
Cardiac insufficiency;
Case report;
Left bundle branch pacing;
Transcatheter aortic valve replacement
- MeSH:
Aged;
Humans;
Male;
Aortic Valve Insufficiency/surgery*;
Bundle-Branch Block/etiology*;
Cardiac Pacing, Artificial;
Postoperative Complications/therapy*;
Transcatheter Aortic Valve Replacement/adverse effects*
- From:
Journal of Zhejiang University. Medical sciences
2025;54(2):149-153
- CountryChina
- Language:Chinese
-
Abstract:
A case of an elderly patient with severe aortic insufficiency who carried high risks for surgical valve replacement. After a detailed preoperative evaluation, the patient successfully received transapical transcatheter aortic valve replacement. Postoperatively, complete left bundle branch block developed, resulting in impaired left ventricular function. Despite guideline-directed medical therapy for heart failure, cardiac function showed no significant recovery. At 4.5 months post-surgery, left bundle branch pacing was performed, leading to a marked improvement in cardiac function.
