His bundle pacing in a young child guided by electroanatomical mapping

Pediatric patients with complete congenital atrio‐ventricular (AV) block are generally exposed to life‐long dyssynchronous right ventricular (RV) pacing. His bundle pacing (HBP) is an alternative method of pacing that better restores physiological ventricular activation which could prevent pacing‐induced cardiomyopathy. We present a case of a 5‐year‐old child with complete AV block who underwent successful permanent HBP implantation. Three‐dimensional electro‐anatomical mapping system was used to facilitate the procedure and reduce the fluoroscopy time. There were no acute procedure‐related complications, and electrical parameters were stable at short‐term follow‐up.