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Europace Advance Access published online on April 28, 2006
Europace, doi:10.1093/europace/eul039
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© The European Society of Cardiology 2006. All rights reserved
Received December 15, 2005
Accepted February 28, 2006

Article

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

Willem G. de Voogt 1 * and Jaap H. Ruiter 2

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

* To whom correspondence should be addressed.
Willem G. de Voogt, E-mail: w.g.devoogt{at}planet.nl


  Abstract

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’.

Keywords: Coronary sinus obstruction; Resynchronization theraphy; Left ventriculars lead; Heart failure.
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