Coronary sinus dissection during left ventricular pacing electrode implantation.
Coronary sinus (CS) dissection during biventricular pacing electrode implantation is a complication that rarely develops. A 71-year-old female with recurrent ventricular tachycardia, heart decompensation, and poor left ventricular function because of dilated cardiomyopathy was admitted for the implantation of a cardioverter-defibrillator for biventricular pacing. During the operation, we experienced a CS dissection with hematoma in the left ventricle wall while introducing the guidance catheter into the CS. However, the pacing lead was successfully implanted into the posterolateral vein using the "over-the-wire" technique. The postoperative electrocardiogram showed a decreased QRS; meanwhile, the echocardiography revealed dimensional reduction and functional improvement of the left ventricle.
Yoda
Masataka
M
Department of Cardiovascular Surgery, Nihon University Hospital, Tokyo, Japan.
Hansky
Bert
B
Koerfer
Reiner
R
Minami
Kazutomo
K
D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D002311:Cardiomyopathy, Dilated / Q000150:complications; D003331:Coronary Vessels / Q000293:injuries*; D004567:Electrodes, Implanted / Q000009:adverse effects; D022062:Electrophysiologic Techniques, Cardiac; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000628:therapy