# Successful pacemaker implantation using left bundle branch area pacing in a patient with dextrocardia: A case report

**Authors:** Yoshiro Tsuruta, Toshihiko Goto, Yomei Sakurai, Kento Mori, Yoshihiro Seo

PMC · DOI: 10.1002/joa3.70118 · Journal of Arrhythmia · 2025-06-19

## TL;DR

A patient with dextrocardia successfully had a pacemaker implanted using left bundle branch area pacing.

## Contribution

This case report demonstrates successful pacemaker implantation in a patient with dextrocardia using left bundle branch area pacing.

## Key findings

- Intraoperative fluoroscopic imaging showed left–right inversion.
- Postoperative noncontrast CT confirmed the right ventricular lead in the interventricular septum.
- The procedure was successfully performed despite the patient's dextrocardia.

## Abstract

The left image shows an intraoperative fluoroscopic view with left–right inversion, and the right image is a postoperative noncontrast CT. Both demonstrate the right ventricular lead positioned in the interventricular septum.

## Full-text entities

- **Diseases:** dextrocardia (MESH:D003914)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12177230/full.md

## References

3 references — full list in the complete paper: https://tomesphere.com/paper/PMC12177230/full.md

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Source: https://tomesphere.com/paper/PMC12177230