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Europace Advance Access originally published online on April 28, 2006
Europace 2006 8(6):456-458; doi:10.1093/europace/eul039
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

PACING/CRT

Occlusion of the coronary sinus: a complication of resynchronisation therapy for severe heart failure

Willem G. de Voogt1,* and Jaap H. Ruiter2

1 Department of Cardiology, St Lucas Andreas Hospital, Amsterdam, J. Toorpstraat 164, 1061 AE Amsterdam, The, Netherlands; 2 Department of Cardiology, Medical Center Alkmaar, The, Netherlands

The finding of complete obstruction of the proximal coronary sinus after left ventricular (LV) lead extraction during LV lead replacement is uncommon. In our case, we used a large collateral branch of the middle cardiac vein as an alternative route to the postero-lateral region. We have termed this the ‘collateral approach’.

Key Words: Coronary sinus obstruction, Resynchronization theraphy, Left ventriculars lead, Heart failure

* Corresponding author. Tel: +31 20 5108911. E-mail address: w.g.devoogt{at}planet.nl


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