Atypical coronary veins anatomy as an obstacle for cardiac resynchronization therapy – case report
Journal Title: Archives of Medical Science - Year 2005, Vol 1, Issue 3
Abstract
Background: Cardiac resynchronization therapy (CRT) is a standard for end-stage heart failure patients. During CRT procedure, left ventricular lead is positioned through coronary sinus (CS) in a coronary vein. Case report: 51-year-old man with dilated cardiomyopathy and persistently symptomatic heart failure despite medical therapy was referred for implantation of CRT system. During CRT procedure, CS ostium was localized and venography was performed. Anatomical variant of CS with lack of typical wide venous trunks was revealed. Instead narrow coronary veins and large venous sinus appeared. Despite 60- -minutes lasting fluoroscopy it was not possible to guide the lead across venous structures. Conclusion: Atypical CS anatomy presenting as venous sinuses could be a serious obstacle for CRT.
Authors and Affiliations
Leszek Markuszewski, Marcin Rosiak, Andrzej Bissinger, Michał Chudzik
Keywords
Related Articles
- EP ID EP118275
- DOI -
- Views 116
- Downloads 0
A positive correlation of serum homocysteine with leptin in maintenance hemodialysis patients
Introduction: Serum leptin is cleared principally by the kidneys and serum leptin concentrations are increased in patients with chronic renal failure and those undergoing a maintenance dialysis. Mild-to-moderate elevatio...
A link between the outcome of living unrelated kidney transplantation and HLA compatibility: a preliminary report
Introduction: Within the different variables affecting renal allograft outcome in the case of HLA matching, there is continued controversy. There are very few studies regarding this issue in grafts from living unrelated...
Alpha-bungarotoxin (α-Bgtx) and beta-bungarotoxin (β-Bgtx) binding activities in human cadaver brain
Introduction: Using 125Iα-Bgtx as a ligand, postsynaptic cholinergic nicotinic receptors has been identified in species. Presynaptic receptors can be defined as receptors at or near the nerve terminal that can positively...
Prevalence of electrocardiographic abnormalities in patients with ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage
Pregnancy and delivery in women with congenital heart disease after cardiac surgery
Introduction: Women with congenital heart disease (CHD) are the majority of pregnant cardiac patients. Pregnancy and delivery care in these patients is still an important clinical issue. The aim of the study was to an...