Scott, MichaelNeedleman, Joseph S.Kean, Adam C.2024-06-212024-06-212024-02-15Scott M, Needleman JS, Kean AC. Conduction System Pacing in Pediatrics and Congenital Heart Disease: A Case Report and Literature Review. J Innov Card Rhythm Manag. 2024;15(2):5749-5755. Published 2024 Feb 15. doi:10.19102/icrm.2024.15021https://hdl.handle.net/1805/41714Conduction system pacing involving either His bundle pacing (HBP) or left bundle branch pacing (LBBP) is a modality that has been introduced as a safe and effective alternative to right ventricular (RV) pacing to help prevent pacemaker-associated cardiomyopathy. While HBP has been employed in the pediatric and congenital populations, several small studies have shown LBBP to be safe and effective in the pediatric population. We present a patient with congenital atrioventricular block and postoperative ventricular septal defect repair cardiomyopathy with subsequent left ventricular function improvement following a transition from an RV epicardial pacemaker system to an LBBP system. This case report serves as a foundation for a review of the current state of LBBP in pediatrics and congenital heart disease.en-USAttribution 4.0 InternationalCardiomyopathyCongenital heart diseaseLeft bundle branch pacingPacing-induced cardiomyopathyArticle