Open AccessResynchronization with Left Ventricle Lead Placement Through the Foramen Ovale
Author(s) -
D'Ivernois Christophe,
Blanc Patrick
Publication year - 2009
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20259
Subject(s) - medicine , cardiac resynchronization therapy , patent foramen ovale , cardiology , coronary sinus , ventricle , thoracotomy , coronary vein , lead (geology) , heart failure , percutaneous , ejection fraction , geomorphology , geology
Left ventricle (LV) lead placement in a coronary sinus branch for cardiac resynchronization therapy may fail because of anatomical variants, phrenic nerve stimulation, and/or lead instability. We report a case of successful resynchronization from a lead inserted from the left subclavian vein and positioned through a patent foramen ovale (PFO). In conclusion, endocardial LV lead insertion through a PFO enables effective resynchronization delivery without the risks associated with a thoracotomy or atrial transseptal puncture. Copyright © 2009 Wiley Periodicals, Inc.