Giant Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing: A Cautionary Tale

Rohan Trivedi; Eileen Rattigan; Terry D Bauch; Vernon Mascarenhas; Tariq Ahmad; Faiz A Subzposh; Pugazhendhi Vijayaraman

doi:10.1016/j.jaccas.2023.101887

Giant Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing: A Cautionary Tale

JACC Case Rep. 2023 May 17:16:101887. doi: 10.1016/j.jaccas.2023.101887. eCollection 2023 Jun 21.

Authors

Rohan Trivedi¹, Eileen Rattigan¹, Terry D Bauch¹, Vernon Mascarenhas¹, Tariq Ahmad¹, Faiz A Subzposh¹, Pugazhendhi Vijayaraman¹

Affiliation

¹ Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA.

Abstract

An 88-year-old woman underwent atrioventricular node ablation and left bundle branch pacing for atrial fibrillation. She presented to the emergency room several hours after discharge with dyspnea. An echocardiogram revealed a giant interventricular septal hematoma. The patient was successfully treated with conservative medical therapy, with eventual complete resolution of the hematoma. (Level of Difficulty: Intermediate.).

Keywords: complication; conduction system pacing; echocardiography; interventricular septal hematoma; left bundle branch pacing.

Publication types

Case Reports