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

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

doi:10.1016/j.jaccas.2023.102087

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

JACC Case Rep. 2023 Oct 28:28:102087. doi: 10.1016/j.jaccas.2023.102087. eCollection 2023 Dec 20.

Affiliations

¹ Cardiovascular Center, Hospital DIPRECA, Santiago, Chile.
² Internal Medicine Fellowship, Postgraduate Department, Universidad Diego Portales, Santiago, Chile.

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.

Keywords: acute heart failure; cardiac resynchronization therapy; coronary angiography; percutaneous coronary intervention.

Publication types

Case Reports