# Feasibility of left bundle branch area pacing with left axillary pacemaker implantation in a young female patient with heart failure

## TL;DR

A young female patient with heart failure successfully received a pacemaker implanted in a way that improved both heart function and appearance.

## Contribution

A two-incision approach for left bundle branch area pacing and left axillary generator implantation is demonstrated in a young female patient.

## Key findings

- Left bundle branch area pacing was successfully performed in a young female patient.
- The left axillary pacemaker implantation improved cosmetic satisfaction and cardiac function.

## Abstract

Device implantation with a generator pocket raises cosmetic concerns regarding external appearance. We present a case of successful left bundle branch area pacing and left axillary pacemaker generator implantation via a two‐incision approach in a young female patient, resulting in favorable cardiac function and cosmetic satisfaction.