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

  • Stevenhagen J
  • Meijer A
  • Bracke F
 et al. 
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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.

Author-supplied keywords

  • Cardiac resynchronization therapy
  • Coronary sinus atresia
  • Persistent left superior vena cava
  • Thrombus formation

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  • Jeroen Stevenhagen

  • Albert Meijer

  • Frank A. Bracke

  • Berry M. Van Gelder

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