First-in-Human Helical-Fixation Leadless Pacemaker in the Left Atrium for D-Transposition With Atrial Switch Procedure

Dustin A. Staloch, Rand Ibrahim, Michael S. Lloyd

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The atrial switch procedure is accompanied by a very high rate of sinus node dysfunction. Baffle stenosis is a common problem with transvenous pacemaker leads in this scenario. Case Summary: We present a first-in-human case of a leadless pacer (LP) in the left atrium in a patient with prior atrial switch for transposition and sinus node dysfunction complicated by multiple abandoned leads, superior baffle occlusion, and failed extraction. We outline difficulties and potential advantages of this approach. Discussion: There is no published experience implanting a helical-fixation leadless pacemaker in a subpulmonic morphologic left atrium. Because implant options for this population are limited, this case illustrates an alternative to transvenous approaches.

Original languageEnglish (US)
Article number102792
JournalJACC: Case Reports
Volume30
Issue number2
DOIs
StatePublished - Jan 15 2025

Keywords

  • Aveir
  • congenital heart disease
  • dextro-transposition of the great arteries
  • leadless pacemaker

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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