Interventricular Septal Hematoma Complicating Left Branch Bundle Lead Implantation: Treatment by Covered Stent

Authors

César Del Castillo
Jorge Van-Grieken
Marco Coello
Carlos Torres-Herrera
Barbara Clericus
Daniel Requena
Arnulfo Begazo
Franco Appiani
Boris Kuzmicic
Paola Varleta

Publication Date

12-20-2023

Journal

JACC: Case Reports

Published Open-Access

no

Keywords

acute heart failure, cardiac resynchronization therapy, coronary angiography, percutaneous coronary intervention

Abstract

We present a female patient with heart failure with reduced ejection fraction who underwent left bundle branch cardiac resynchronization therapy. Left bundle branch lead implantation was complicated with septal branch perforation causing an iatrogenic coronary fistula complicated by septal hematoma formation and development of shock. Occlusion by covered stents was successfully achieved.

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