Successful Placement of a Left Ventricular Pacing Lead Despite Coronary Sinus Dissection During Cardiac Resynchronization Therapy.
- Author:
Dong Sung KUM
1
;
Suk Hwan CHUNG
Author Information
1. Department of Internal Medicine, Dong San Hospital, Busan, Korea. kkhjds@hanmail.net
- Publication Type:Case Report
- Keywords:
Coronary sinus;
Dissection;
Heart failure
- MeSH:
Aged;
Cardiac Resynchronization Therapy;
Coronary Sinus;
Coronary Vessels;
Dilatation;
Heart Failure;
Humans;
Ventricular Dysfunction, Left
- From:Korean Journal of Medicine
2011;80(3):333-336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cardiac resynchronization therapy is effective in selected patients with symptomatic left ventricular dysfunction. Coronary sinus dissection is a relatively uncommon, but much feared, complication that may occur during placement of the left ventricular pacing lead. A 68-year-old man was transferred to our hospital for treatment of severe heart failure. He developed coronary sinus dissection after balloon dilatation during the procedure for cardiac resynchronization therapy. Nevertheless, we successfully placed the left ventricular pacing lead in the coronary vein. We present the case with a review of the literature.
