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.