Mimetic total coronary sinus occlusion due to superselection with the balloon catheter.
A 77-year-old man with dilated cardiomyopathy, atrial fibrillation, QRS duration of 140 ms, and NYHA functional class III was referred for cardiac resynchronization therapy device implantation. Coronary sinus (CS) contrast venography by balloon catheter showed no evidence of tributary veins, mimicking total occlusion of the CS. It was found to be due to superselection of a side branch with the balloon catheter.
Huang
Jin-Long
JL
Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, ROC. golden@vghtc.gov.tw
Tsai
I-Chen
IC
Su
Chieh-Shou
CS
Hsieh
Yu-Cheng
YC
Ueng
Kwo-Chang
KC
Wu
Tsu-Juey
TJ
Ting
Chih-Tai
CT
Tsao
Hsuan-Ming
HM
Chen
Shih-Ann
SA
D000368:Aged; D001281:Atrial Fibrillation / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D002304:Cardiac Pacing, Artificial; D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D054326:Coronary Sinus; D006801:Humans; D008297:Male; D010690:Phlebography; D019919:Prosthesis Implantation / Q000009:adverse effects