Abstract
We present the case of a patient referred for conduction system pacemaker implantation after a complete block associated with transcatheter aortic valve replacement and reduced left ventricular function. In this case, we achieved bilateral septal pacing through the anodal capture of the right ventricular septum during bipolar pacing. This approach generated superior ventricular mechanical synchrony compared to left ventricular septum pacing (LVSP).
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