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June 2, 2026European Heart Journal6 citationsOpen Access

Successful transvenous cardiac resynchronisation therapy in a case of coronary sinus ostial atresia

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DWDavid G. WilsonNANauman AhmedPSPhoebe Sun

Key Result

Transvenous cardiac resynchronisation therapy was successfully performed in a 42-year-old male despite the inability to cannulate the coronary sinus due to ostial atresia.

Key Points

  • To assess the feasibility and outcomes of transvenous cardiac resynchronisation therapy in a patient with coronary sinus ostial atresia and heart failure.
  • Patient with non-ischaemic dilated cardiomyopathy and severe heart failure symptoms underwent CRT-D implantation.
  • LV lead implantation faced challenges due to coronary sinus cannulation failure.
  • Successful implantation of CRT-D after addressing coronary sinus challenges.
  • Patient experienced symptom relief and improvement in heart function post-therapy.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 42-year-old male with non-ischaemic dilated cardiomyopathy, heart failure, and coronary sinus ostial atresia undergoing CRT-D implantation.
I
Intervention
Transvenous cardiac resynchronisation therapy with defibrillator (CRT-D) implantation.
O
Outcome
Successful implantation of the left ventricular lead.

Transvenous CRT-D implantation can be successfully performed even in patients with coronary sinus ostial atresia.

Abstract

A 42-year-old male with non-ischaemic dilated cardiomyopathy, sinus rhythm, LBBB morphology (QRS duration 150ms), New York Heart Association class III heart failure symptoms and recurrent syncope with non-sustained ventricular tachycardia was referred for cardiac resynchronisation therapy with defibrillator (CRT-D) implantation. Implantation of the LV lead proved difficult due to inability to cannulate the coronary sinus (CS) …

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Cite This Study

Wilson et al. (2016) conducted a case report in Non-ischaemic dilated cardiomyopathy and coronary sinus ostial atresia (n=1). Transvenous cardiac resynchronisation therapy (CRT-D) implantation was evaluated on Successful implantation of LV lead. Transvenous cardiac resynchronisation therapy was successfully performed in a 42-year-old male despite the inability to cannulate the coronary sinus due to ostial atresia.

synapsesocial.com/papers/6a1ef47155d924476d7d9fbdhttps://doi.org/10.1093/eurheartj/ehw401
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