Implantation of cardiac resynchronization therapy defibrillator with left bundle branch pacing in a patient with mirror-image dextrocardia: a case report - Summary - MDSpire

Implantation of cardiac resynchronization therapy defibrillator with left bundle branch pacing in a patient with mirror-image dextrocardia: a case report

  • By

  • Hongwei Yi

  • Jia Li

  • Hongwei Han

  • Yue Bao

  • June 9, 2026

  • 0 min

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Objective:

To report a case of successful implantation of an LBBP-based CRT-D in a patient with mirror-image dextrocardia and advanced heart failure.

Key Findings:
  • Successful implantation of LBBP-CRT-D in a patient with mirror-image dextrocardia.
  • Accurate capture of the left bundle branch was achieved intraoperatively.
  • The procedure highlighted the feasibility of LBBP in patients with complex anatomical variations.
Interpretation:

Remove unsupported conclusions and focus on summarizing the case without editorializing.

Limitations:
  • The case report is based on a single patient experience.
  • Limited clinical experience with LBBP in mirror-image dextrocardia.
Conclusion:

Revise to avoid implications about potential without direct attribution.

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