title: Successful placement of left ventricular pacing lead despite coronary sinus perforation into the pericardial space with an obstructive flap.
abstract: Coronary sinus perforation is a relatively uncommon but much feared complication that may occur during the placement of left ventricular pacing lead. Coronary sinus perforation, especially in the presence of an obstructive flap, usually indicates the need to abandon the implantation attempt, as there are difficulties in crossing the obstructive flap as well as uncertainty of whether the lead is in the true lumen or into the pericardial space. We describe our experience in successfully placing the left ventricular lead safely despite the problems arising from these circumstances.
authors.affiliation: Department of Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: Syahidah Syed
authors.initials: SS
authors.lastname: Tamin
authors.forename: Azlan
authors.initials: A
authors.lastname: Hussin
authors.forename: Imran
authors.initials: I
authors.lastname: Za
authors.forename: Nik
authors.initials: N
authors.lastname: Halmey
authors.forename: Wan
authors.initials: W
authors.lastname: Azman
mesh_terms: D000368:Aged; D003331:Coronary Vessels / Q000293:injuries*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods*; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000209:etiology*