We present a female patient with heart failure with reduced ejection fraction who underwent left bundle branch cardiac resynchronization therapy. Left bundle branch lead implantation was complicated with septal branch perforation causing an iatrogenic coronary fistula complicated by septal hematoma formation and development of shock. Occlusion by covered stents was successfully achieved.
Keywords: acute heart failure; cardiac resynchronization therapy; coronary angiography; percutaneous coronary intervention.
© 2023 The Authors.