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Dissection of the Coronary Sinus Secondary to Pacemaker Lead Manipulation
Author(s) -
WALKER STUART,
LEVY TERRY,
PAUL VINCE E.
Publication year - 2000
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 - 10.1111/j.1540-8159.2000.tb00844.x
Subject(s) - medicine , coronary sinus , cardiology , lead (geology) , dissection (medical) , sick sinus syndrome , surgery , geomorphology , geology
We report a 64‐year‐old man with atrial fibrillation and impaired left ventricular function in whom pacemaker lead manipulation during biatrial pacemaker lead removal and biventricular pacemaker lead insertion caused coronary sinus dissection. After further manipulation of the biventricular pacing lead, the true lumen of the coronary sinus could be entered and satisfactory left ventricular pacing undertaken. The dissection was managed conservatively without long‐term sequelae.