Abstract

Cardiac resynchronization therapy (CRT) via the coronary sinus is not always possible. Left ventricular (LV) endocardial lead placement is a potential alternative, although its feasibility in patients with congenital heart disease is unknown. We report a case of endocardial LV pacing in a patient with a persistent left-sided superior vena cava. The procedure was successfully performed without complication, using standard equipment.

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