Cardiac resynchronization therapy: can left ventricular lead position make the difference?
The authors report the case of an 82-year-old female patient with non-ischemic dilated cardiomyopathy who developed worsening heart failure functional class despite optimal medical therapy. As the patient met criteria for cardiac resynchronization, a CRT-P device was implanted, but due to technical difficulties, the left ventricular lead was implanted in the anterior coronary vein. In the absence of any benefit from the procedure, a new left ventricular lead was implanted in posterolateral position with good clinical and echocardiographic response.
Serviço de Cardiologia, Hospital de Santa Cruz-CHLO, Lisboa, Portugal. renatagomes50@hotmail.com
Renata
R
Gomes
José Miguel
JM
Santos
João
J
Abecasis
Sérgio
S
Fartouce
Francisco
F
Morgado
Pedro
P
Adragão
Aniceto
A
Silva
D000369:Aged, 80 and over; D058406:Cardiac Resynchronization Therapy / Q000379:methods*; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans