Document Detail

Interventional approach to CRT in a patient with drainage of the superior vena cava into the coronary sinus.
MedLine Citation:
PMID:  18373773     Owner:  NLM     Status:  MEDLINE    
A persistent left superior vena cava markedly increases the size of the coronary sinus (CS), which can increase the difficulty of left ventricular (LV) lead placement in patients receiving cardiac resynchronization therapy (CRT). We present a case where the entire superior vena cava drains into the coronary sinus, creating a massive CS. We also describe an interventional approach to LV lead implantation utilizing a combination of delivery systems from different vendors.
Seth Joseph Worley; Douglas Charles Gohn; Robert Ward Pulliam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  31     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-31     Completed Date:  2008-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  506-8     Citation Subset:  IM    
Lancaster Heart and Stroke Foundation, Lancaster General Hospital, Lancaster, Pennsylvania 17603, USA.
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MeSH Terms
Bundle-Branch Block / complications*,  prevention & control*
Coronary Vessel Anomalies / complications*
Defibrillators, Implantable*
Electrodes, Implanted*
Prosthesis Implantation / methods*
Vena Cava, Superior / abnormalities*

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