We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Septal coronary artery fistula after left bundle branch area pacing assessed by multi‐imaging modalities and shunt volume quantification.
- Authors
Kato, Hiroyuki; Yanagisawa, Satoshi; Ota, Ryusuke; Murakami, Hisashi; Kada, Kenji; Tsuboi, Naoya; Inden, Yasuya; Murohara, Toyoaki
- Abstract
Septal coronary artery fistula is a rare but concerning complication of left bundle branch area pacing (LBBAP). We report the case of an 82‐year‐old man who was indicated for cardiac resynchronization therapy and underwent LBBAP. The patient had no chest symptoms during or after implantation. Postoperative echocardiography demonstrated a new abnormal tunnel inside the interventricular septum (IVS) and shunt flow from the IVS toward the right ventricle. Coronary angiography confirmed a septal coronary artery fistula, which might have been formed by failed deep screw attempts. Since the shunt volume assessed by the Qp/Qs was small, the patient was treated conservatively.
- Subjects
FISTULA; BUNDLE-branch block; CARDIAC pacing; DIAGNOSTIC imaging; CORONARY angiography; HEART ventricles; ELECTROCARDIOGRAPHY; CORONARY arteries
- Publication
Pacing & Clinical Electrophysiology, 2022, Vol 45, Issue 11, p1299
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.14548