We present the case of an 81-year-old woman with a background of situs inversus with dextrocardia who was successfully treated for tachycardia-bradycardia syndrome with left bundle area pacing. This report describes how this approach can circumvent the limitations of other pacing approaches to optimize patient outcomes. (Level of Difficulty: Intermediate.).
Keywords: AAIR, atrial-pacing atrial-sensing inhibited-response rate-adaptive (single-lead atrial) [pacemaker]; ACHD, adult congenital heart disease; DDDR, dual-chamber rate-adaptive [permanent pacemaker]; LBAP, left bundle area pacing; dextrocardia; left bundle area pacing; sinus node disease; situs inversus.
© 2022 The Authors.