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Europace Advance Access originally published online on June 2, 2008
Europace 2008 10(9):1116-1118; doi:10.1093/europace/eun148
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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

CASE REPORTS

Is coronary vein angioplasty necessary to provide cardiac resynchronization in selected patients? A case report

Maciej Sterlinski1,*, Cezary Sosnowski2, Dariusz Zajac1, Witold Ruzyllo2 and Hanna Szwed1

1 II Coronary Artery Disease Department, Institute of Cardiology, Spartanska 1, 02-637 Warsaw, Poland; 2 I Department of Haemodynamics, Institute of Cardiology, Spartanska 1, 02-637 Warsaw, Poland

Cardiac resynchronization therapy (CRT) has become a recommended method for patients with congestive heart failure (CHF) and cardiac dyssynchrony. In some cases, CRT implantation procedure can be complicated because of anatomic and technical reasons. Some reports describe balloon angioplasty of stenotic heart veins as a method to achieve the target vessel. We present a case of a 58-year-old male with permanent atrial fibrillation and CHF who was referred for CRT. During the implantation of the pacemaker, the diaphragmatic obstacle in coronary sinus (CS) has been passed after many attempts using a balloon catheter with no inflation. The aim of the report is to discuss, in short, the real necessity of venous angioplasty in the CS bed during CRT implantation.

Key Words: Cardiac resynchronization therapy, Venous angioplasty

* Corresponding author. Tel: +48 223434050; fax: +48 228449510. E-mail address: msterlinski{at}poczta.onet.pl

Manuscript submitted 29 March 2008. Accepted after revision 12 May 2008.


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