title: Dissection of the coronary sinus secondary to pacemaker lead manipulation.
abstract: We report a 64-year-old man with atrial fibrillation and impaired left ventricular function in whom pacemaker lead manipulation during biatrial pacemaker lead removal and biventricular pacemaker lead insertion caused coronary sinus dissection. After further manipulation of the biventricular pacing lead, the true lumen of the coronary sinus could be entered and satisfactory left ventricular pacing undertaken. The dissection was managed conservatively without long-term sequelae.
authors.affiliation: Department of Cardiology, Harefield Hospital, Uxbridge, Middlesex, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Walker
authors.forename: T
authors.initials: T
authors.lastname: Levy
authors.forename: V E
authors.initials: VE
authors.lastname: Paul
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D001281:Atrial Fibrillation / Q000628:therapy; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D004567:Electrodes, Implanted / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*