ArticleJACC. Case reports2026
Combined Lead Extraction and Leadless VDD Pacemaker Implantation in d-TGA Patient After Senning Procedure.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Leadless Pacing and the Emerging Era of Combined Procedures in Adult Congenital Heart Disease.JACC. Case reports · 2026Article
- Case Report: Leadless pacemaker implantation in patient with Senning procedure for dextro-transposition of the great arteries.Frontiers in cardiovascular medicine · 2026Article
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Authors and funding
7 authors.
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Abstract
backgroundConduction abnormalities are common long-term sequelae after the Senning procedure for dextro-transposition of the great arteries (d-TGA), often requiring permanent pacing. Infection or lead malfunction may necessitate system extraction. Leadless pacemakers offer a promising alternative option. CASE SUMMARY: We present a 30-year-old man with d-TGA who previously underwent a Senning procedure. He had an infected pacemaker with lead extrusion. A combined procedure was performed, including complete system extraction and implantation of a leadless VDD pacemaker (Micra AV2). The procedure achieved atrioventricular (AV) synchrony and rapid recovery. DISCUSSION: This case highlights the viability of integrating leadless VDD pacemaker implantation with lead extraction in post-Senning d-TGA patients for efficient AV synchrony. It supports leadless pacing as practical solution for complex congenital cardiac anatomy. TAKE-HOME MESSAGES: Leadless pacemakers represent a promising alternative pacing strategy for patients with d-TGA post-Senning procedure. Micra VDD pacing with AV synchrony represents an innovative and effective approach in this setting.
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