{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:35:31Z","timestamp":1776058531542,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T00:00:00Z","timestamp":1670803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,30]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The ideal pacing strategy has been the Achilles\u2019 heel for patients with congenitally corrected transposition of great arteries (ccTGA) with bradycardia. Various pacing modalities were documented in the literature. This article describes a novel pacing strategy and its feasibility in ccTGA with an intact ventricular septum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>We prospectively recruited three patients with ccTGA who presented with symptomatic complete heart block to our institute and were evaluated. All patients were planned for conduction system pacing. Those who had more than moderate or severe systemic atrioventricular regurgitation and systemic ventricular dysfunction were planned for conduction system pacing with an additional lead in the coronary sinus (CS) tributary, i.e. bundle branch pacing optimized cardiac resynchronization therapy with the intention to achieve incremental benefit. Since right bundle pacing is not described previously and in view of anatomical complexity in location, three-dimensional (3D) anatomical mapping was done with the EnSite system and later right bundle capture is identified conventionally as that of a left bundle in a normal heart. All three patients have stable lead positions and adequate thresholds at short-term follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this report, we demonstrated the feasibility of permanent physiological pacing of the systemic ventricle by capturing the right bundle with 3D anatomical mapping guidance, which results in physiological activation of the systemic ventricle.<\/jats:p><\/jats:sec>","DOI":"10.1093\/europace\/euac239","type":"journal-article","created":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T13:27:47Z","timestamp":1670851667000},"page":"1110-1115","source":"Crossref","is-referenced-by-count":13,"title":["Three-dimensional electroanatomical mapping guided right bundle branch pacing in congenitally corrected transposition of great arteries"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7997-1333","authenticated-orcid":false,"given":"Narayanan","family":"Namboodiri","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5456-9321","authenticated-orcid":false,"given":"Saikiran","family":"Kakarla","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3313-3462","authenticated-orcid":false,"given":"Krishna Kumar","family":"Mohanan Nair","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6477-4510","authenticated-orcid":false,"given":"Sreevilasam P","family":"Abhilash","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabari","family":"Saravanan","sequence":"additional","affiliation":[{"name":"Abbott Electrophysiology and Heart Failure Department, No 147 3rd Floor, Greams Lane, Greames Road , Chennai 600006 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9179-8780","authenticated-orcid":false,"given":"Harsh Kumar","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2389-708X","authenticated-orcid":false,"given":"Jyothi","family":"Vijay","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Sasikumar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3526-3869","authenticated-orcid":false,"given":"Ajit Kumar","family":"Valaparambil","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Jayanagar, Wt Road, Medical College Junction , Trivandrum 695011 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"2241","DOI":"10.1016\/j.jacc.2011.08.025","article-title":"Birth prevalence of congenital heart disease worldwide","volume":"58","author":"van der Linde","year":"2011","journal-title":"J Am Coll Cardiol"},{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1161\/01.CIR.67.6.1374","article-title":"Complete atrioventricular block in patients with atrioventricular discordance","volume":"67","author":"Huhta","year":"1983","journal-title":"Circulation"},{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0735-1097(00)00682-3","article-title":"Long-term outcome in congenitally corrected transposition of the great arteries","volume":"36","author":"Graham","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"e007759","DOI":"10.1161\/JAHA.117.007759","article-title":"Cardiac conduction system in congenitally corrected transposition of the great arteries and its clinical relevance","volume":"6","author":"Baruteau","year":"2017","journal-title":"J Am Heart Assoc"},{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ijcard.2013.11.128","article-title":"Adverse impact of chronic subpulmonary left ventricular pacing on systemic right ventricular function in patients with congenitally corrected transposition of the great arteries","volume":"171","author":"Yeo","year":"2014","journal-title":"Int J Cardiol"},{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.hrcr.2019.09.012","article-title":"Three-dimensional mapping\u2013guided permanent his bundle pacing in a patient with corrected transposition of great arteries","volume":"5","author":"Vijayaraman","year":"2019","journal-title":"HeartRhythm Case Rep"},{"key":"2023033013593473100_","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1016\/j.hrthm.2020.01.033","article-title":"Permanent conduction system pacing for congenitally corrected transposition of the great arteries: a pediatric and congenital electrophysiology society (PACES)\/international society for adult congenital heart disease (ISACHD) collaborative study","volume":"17","author":"Moore","year":"2020","journal-title":"Heart Rhythm"}],"container-title":["EP Europace"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/25\/3\/1110\/49703904\/euac239.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/25\/3\/1110\/49703904\/euac239.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T04:35:48Z","timestamp":1701491748000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/25\/3\/1110\/6887938"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,12]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,12,12]]},"published-print":{"date-parts":[[2023,3,30]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euac239","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,3,1]]},"published":{"date-parts":[[2022,12,12]]}}}