Del Castillo C, Van-Grieken J, Coello M, Torres-Herrera C, Clericus B, Requena D, Begazo A, Appiani F, Kuzmicic B, Varleta P. Interventricular Septal Hematoma Complicating Left Branch Bundle Lead Implantation: Treatment by Covered Stent.
JACC Case Rep 2023;
28:102087. [PMID:
38204533 PMCID:
PMC10774742 DOI:
10.1016/j.jaccas.2023.102087]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 09/20/2023] [Accepted: 10/03/2023] [Indexed: 01/12/2024]
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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