Key result
Implantation of a coronary sinus lead through a persistent left superior vena cava was successfully accomplished despite coronary sinus atresia and a large thrombus.
Case Report (n=1)
Left ventricular pacing lead implantation for cardiac resynchronization therapy can be successfully achieved via a persistent left superior vena cava in patients with coronary sinus atresia, even when complicated by local thrombus.
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May guide individualized CRT approaches in rare anatomy; hypothesis-generating and should not yet change practice.
Stevenhagen et al. (2008) conducted a case report in Heart failure with failed coronary sinus lead implant (n=1). Implantation of a coronary sinus lead through a persistent left superior vena cava was evaluated on Successful implantation of coronary sinus lead. Implantation of a coronary sinus lead through a persistent left superior vena cava was successfully accomplished despite coronary sinus atresia and a large thrombus.
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