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Implantation of a Biventricular Pacing System in a Patient with a Coronary Sinus Not Communicating with the Right Atrium
Author(s) -
VAN GELDER BERRY M.,
ELDERS JAN,
BRACKE FRANK A.,
MEIJER ALBERT
Publication year - 2003
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2003.t01-1-00184.x
Subject(s) - coronary sinus , medicine , persistent left superior vena cava , cardiology , superior vena cava , right atrium , great cardiac vein , sinus (botany) , atrium (architecture) , atrial fibrillation , botany , biology , genus
Intubation of the coronary sinus failed during implantation of a biventricular pacing system. An angiogram of the left coronary artery showed in the venous phase a coronary sinus not communicating with the right atrium. The coronary sinus was draining into a persistent left superior vena cava communicating with the left subclavian vein. The coronary sinus lead was successfully implanted through the persistent left superior vena cava, whereas the atrial and ventricular leads were implanted through the right superior vena cava in a conventional way. (PACE 2003; 26:1294–1296)