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Europace Advance Access originally published online on January 18, 2008
Europace 2008 10(3):384-387; doi:10.1093/europace/eum291
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

RESYNCHRONISATION THERAPY

Coronary sinus atresia and persistent left superior vena cava with the presence of thrombus complicating implantation of a left ventricular pacing lead

Jeroen Stevenhagen, Albert Meijer, Frank A. Bracke and Berry M. van Gelder*

Department of Cardiology, Catharina Hospital, Michelangelolaan 2, Eindhoven, 5623 EJ, The Netherlands

A 68-year-old male with heart failure and a suitable candidate for resynchronization therapy was referred to our hospital because of a failed coronary sinus (CS) lead implant. Catheterization of the CS initially also failed in our department but a left coronary angiogram revealed atresia of the CS and drainage of the coronary venous system via a persistent left superior vena cava (PLSVC). Implantation of a CS lead through the PLSVC could be accomplished after a selective angiogram, even in spite of the presence of a large thrombus at the junction of PLSVC and CS.

Key Words: Coronary sinus atresia, Thrombus formation, Cardiac resynchronization therapy, Persistent left superior vena cava

* Corresponding author. Tel: +31 40 2397765; fax: +31 40 2447885. E-mail address: carlgr{at}cze.nl

Manuscript submitted 1 November 2007. Accepted after revision 11 December 2007.


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