A case report of a rare and distinctive pacing pattern during left bundle branch pacing in a child with third-degree atrioventricular block following ventricular septal defect repair

Yue Bao, Wenwen Chen, Qingquan Zhang, Hongwei Han · 2026

Read A case report of a rare and distinctive pacing pattern during left bundle branch pacing in a child with third-degree atrioventricular block following ventricular septal defect repair by Yue Bao, Wenwen Chen, Qingquan Zhang, Hongwei Han (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13320659.txt.

Description

Yue Bao and co-authors describe an unusual heart tracing in a 2026 case report of a young child. After repair of a hole between the heart's lower chambers, the 3-year-old developed complete heart block plus a right bundle branch block. A pacemaker using left bundle branch pacing, a more natural method favoured in children, was fitted.

During fitting, the pacing lead touched only the surface of the wall between the chambers, without deep fixing. The tracing then showed a right bundle pattern, which the team calls rare and unlike the usual left bundle pattern seen with standard pacing. No matching cases were found in prior reports, so the note alerts pacing teams to the pattern.

Catalog record

CREATORYue Bao, Wenwen Chen, Qingquan Zhang, Hongwei Han
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE9974
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13320659

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