Work

First Pediatric Application of Bachmann's Bundle Pacing and Left Bundle Branch Area Pacing for Bi‐Physiologic Conduction System Pacing

Year: 2026

Type: article

Abstract: BACKGROUND: Atrial pacing at right atrial appendage causes nonphysiologic delays. Bachmann's bundle (BB) pacing preserves synchrony but lacks pediatric data. CASE SUMMARY: We report the first pediatric combined BB and left bundle branch area pacing in a 9-year-old boy (23.5 kg). With electrophysiologic and echocardiographic guidance, successful BB capture was achieved on a thin 2.1 mm atrial septum. Pacing significantly shortened P-wave duration (122-> 66 ms) and reduced interatrial mechanical delay (53-> 40 ms) on speckle-tracking echocardiography. CONCLUSION: This case demonstrates the acute success of BB pacing in a child. Bi-physiologic pacing is technically feasible and safe, though long-term outcomes warrant further evaluation.

Source: Journal of Cardiovascular Electrophysiology

DOI: 10.1111/jce.70349

Authors: Hei‐To Leung, Sabrina Tsao, Samuel Chung‐Sum Ho, Kwok‐Lap Chan, Yiu‐Fai Cheung, Sit‐Yee Kwok

Institutions: Hong Kong Children's Hospital, University of Hong Kong

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,500