Left Bundle Branch Area Pacing as a Rescue Strategy After Failed Cardiac Resynchronization Therapy in a Patient With Persistent Left Superior Vena Cava, Absent Coronary Sinus Branches, After Bilateral Maze Procedure: A Case Report

Lucie Kohoutková; Martin Augustynek; David Šipula

doi:10.12659/AJCR.952879

26 September 2026 : Case report Czech Republic

Left Bundle Branch Area Pacing as a Rescue Strategy After Failed Cardiac Resynchronization Therapy in a Patient With Persistent Left Superior Vena Cava, Absent Coronary Sinus Branches, After Bilateral Maze Procedure: A Case Report

Unusual or unexpected effect of treatment, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Lucie Kohoutková^{ABCDEF 1,2*}, Martin Augustynek^{DG 1}, David Šipula^{DEF 2}

DOI: 10.12659/AJCR.952879

Am J Case Rep 2026; 27:e952879

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Figure 2 Selective coronary sinus venography (contrast injection into the coronary sinus). The fluoroscopic image shows the coronary sinus opacified after contrast injection through a catheter introduced via right-sided venous access. The contrast outlines the main trunk of the coronary sinus without an adequate lateral or posterolateral branch suitable for left ventricular lead implantation.

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Left Bundle Branch Area Pacing as a Rescue Strategy After Failed Cardiac Resynchronization Therapy in a Patient With Persistent Left Superior Vena Cava, Absent Coronary Sinus Branches, After Bilateral Maze Procedure: A Case Report

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