Introduction
Cardiac resynchronisation therapy (CRT) improves survival and reduces morbidity in patients with heart failure (HF), reduces left ventricular ejection fraction (LVEF), and significant cardiac dyssynchrony1–3. The post-procedural complications could lead to increase in patient morbidity, healthcare costs, and mortality 4. Left ventricular (LV) lead fracture is a serious mechanical complication in patients receiving CRT4–6. Therefore, troubleshooting of the LV lead fracture in patients receiving CRT in whom transvenous LV lead implantation is problematic should be evaluated. Herein, we present a case in which an epicardial LV lead was surgically implanted to correct a LV lead fracture and accompanying HF deterioration following complications of LV lead implantation.