Additional Great cardiac vein

2018 ◽  
Vol 1 (46) ◽  
pp. 36-39
Author(s):  
Anna Gózd-Barszczewska ◽  
Wojciech Dworzański ◽  
Marcin Szczasny ◽  
Marcin Leus ◽  
Tomasz Chromiński ◽  
...  

We report a case of a patient with an additional great cardiac vein, discovered during the implantation for car­diac resynchronization therapy (CRT). Anomalies of the coronary sinus and its tributaries may cause difficulties in appropriate implantation of the left ventricular lead but they can also be considered as alternatives for lead placement. Although unusual angiogram of the coronary venous system, a left ventricular pacing lead was successfully placed in the left marginal vein. To settle diagnostic doubts, multislice computed tomography was carried out.

Author(s):  
Thijs Stoker ◽  
Theo J. Klinkenberg ◽  
Alexander H. Maass ◽  
Massimo A. Mariani

We describe two cases in which a biventricular implantable cardioverter defibrillator for cardiac resynchronization therapy had to be placed on the right side due to unsuitability of the left subclavian vein. Endocardial implantation of a left ventricular lead through the coronary sinus was previously attempted but was unsuccessful. Implantation of the epicardial left ventricular pacing lead was performed through video-assisted thoracic surgery on the left side. The connector end of the left ventricular pacing lead was tunnelized through the anterior mediastinum into the right pleural space. The right-sided pocket was then opened. A tunnel was created from the pocket to the thoracic wall, and the pleural space was entered over the second rib. The lead was retrieved from the right pleural space and connected with the Cardiac resynchronization therapy-device (CRT-D). Both procedures and postoperative periods were uneventful. Intrathoracic left-to-right tunneling of an epicardial left ventricular lead by video-assisted thoracic surgery is feasible and safe. It provides an alternative to subcutaneous tunneling.


EP Europace ◽  
2012 ◽  
Vol 14 (12) ◽  
pp. 1739-1739 ◽  
Author(s):  
S. Sideris ◽  
E. Poulidakis ◽  
I. Kallikazaros

Heart Rhythm ◽  
2006 ◽  
Vol 3 (1) ◽  
pp. 91-94 ◽  
Author(s):  
Orly Goitein ◽  
Joan M. Lacomis ◽  
John Gorcsan ◽  
David Schwartzman

2008 ◽  
Vol 31 (4) ◽  
pp. 503-505 ◽  
Author(s):  
FOLCO FRATTINI ◽  
ROBERTO RORDORF ◽  
LUIGI ANGOLI ◽  
FRANCESCO PENTIMALLI ◽  
ALESSANDRO VICENTINI ◽  
...  

Heart Rhythm ◽  
2012 ◽  
Vol 9 (5) ◽  
pp. 789-795 ◽  
Author(s):  
Liliane Wecke ◽  
Arne van Hunnik ◽  
Todd Thompson ◽  
Lorenzo DiCarlo ◽  
Mark Zdeblick ◽  
...  

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