open access

Vol 65, No 10 (2007)
Other
Published online: 2007-10-29
Submitted: 2012-12-28
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Invasive electrophysiology
Coronary venoplasty during the implantation of the cardiac resynchronisation device – a case report

Andrzej Przybylski, Krzysztof Cedro, Tomasz Szajewski, Michał Orczykowski, Piotr Urbanek, Zbigniew Kacprzyk, Lidia Chojnowska, Adam Witkowski, Witold Rużyłło, Franciszek Walczak
Kardiol Pol 2007;65(10):1259-1262.

open access

Vol 65, No 10 (2007)
Other
Published online: 2007-10-29
Submitted: 2012-12-28

Abstract

We describe a case of a 76-year-old patient with advanced block in the His-Purkjnie system, who underwent implantation of a cardioverter-defibrillator with cardiac resynchronisation therapy. Complete heart block occurred during the insertion of the coronary sinus cathether. The implantation of the left ventricular (LV) lead was impossible due to difficult anatomy of the coronary venous system. The right ventricular pacing caused the further prolongation of the QRS duration and exacerbation of heart failure symptoms. Thus, the LV lead was successfully implanted during the second procedure after the balloon venoplasty of the lateral cardiac vein. The biventricular pacing was successful during 4 months follow-up.

Abstract

We describe a case of a 76-year-old patient with advanced block in the His-Purkjnie system, who underwent implantation of a cardioverter-defibrillator with cardiac resynchronisation therapy. Complete heart block occurred during the insertion of the coronary sinus cathether. The implantation of the left ventricular (LV) lead was impossible due to difficult anatomy of the coronary venous system. The right ventricular pacing caused the further prolongation of the QRS duration and exacerbation of heart failure symptoms. Thus, the LV lead was successfully implanted during the second procedure after the balloon venoplasty of the lateral cardiac vein. The biventricular pacing was successful during 4 months follow-up.
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Keywords

cardiac resynchronisation therapy; coronary venoplasty

About this article
Title

Invasive electrophysiology
Coronary venoplasty during the implantation of the cardiac resynchronisation device – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 10 (2007)

Pages

1259-1262

Published online

2007-10-29

Bibliographic record

Kardiol Pol 2007;65(10):1259-1262.

Keywords

cardiac resynchronisation therapy
coronary venoplasty

Authors

Andrzej Przybylski
Krzysztof Cedro
Tomasz Szajewski
Michał Orczykowski
Piotr Urbanek
Zbigniew Kacprzyk
Lidia Chojnowska
Adam Witkowski
Witold Rużyłło
Franciszek Walczak

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