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 5 Upright chest X-ray on postoperative day 1. Chest radiograph obtained on postoperative day 1 confirming stable positions of all conduction system pacing-related leads, without evidence of dislodgement. The left bundle branch area pacemaker lead maintains appropriate septal orientation, indicative of sustained conduction system engagement. No pneumothorax or early postoperative complications are present.

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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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