Resynchronization with left ventricle lead placement through the foramen ovale.
Left ventricle (LV) lead placement in a coronary sinus branch for cardiac resynchronization therapy may fail because of anatomical variants, phrenic nerve stimulation, and/or lead instability. We report a case of successful resynchronization from a lead inserted from the left subclavian vein and positioned through a patent foramen ovale (PFO). In conclusion, endocardial LV lead insertion through a PFO enables effective resynchronization delivery without the risks associated with a thoracotomy or atrial transseptal puncture.
Hôpital Universitaire Dupuytren, Limoges, France. christophe.divernois@chu-limoges.fr
Christophe
C
D'Ivernois
Patrick
P
Blanc
D000368:Aged; D002037:Bundle-Branch Block / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000379:methods*; D002304:Cardiac Pacing, Artificial; D017023:Coronary Angiography; D054326:Coronary Sinus / Q000000981:diagnostic imaging; D004562:Electrocardiography; D004867:Equipment Design; D005260:Female; D054085:Foramen Ovale / Q000000981:diagnostic imaging; D006801:Humans; D010138:Pacemaker, Artificial; D015641:Radiography, Interventional; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D016896:Treatment Outcome