title: Coronary sinus aneurysm and left ventricular-coronary sinus fistula. Implantation of CRT device.
abstract: We describe a 72-year-old man referred for implantation of a cardiac resynchronization therapy device who had previously undergone repeated operations to replace the mitral valve. Retrograde venography of the coronary sinus (CS) to implant the left ventricular (LV) pacing lead revealed aneurysmal dilatation of the CS with LV-CS fistula that hindered-but did not prevent-complete implantation of the system.
authors.affiliation: Cardiology Department, Hospital Universitario Virgen de Valme, Sevilla, Spain. jlealvalme@terra.es
authors.forename: Juan Leal
authors.initials: JL
authors.lastname: del Ojo
authors.forename: Ricardo
authors.initials: R
authors.lastname: Pavón
authors.forename: Dolores
authors.initials: D
authors.lastname: García
authors.forename: Javier
authors.initials: J
authors.lastname: Quintana
authors.forename: Jorge
authors.initials: J
authors.lastname: Caparrós
authors.forename: David
authors.initials: D
authors.lastname: Villagomez
authors.forename: Maria
authors.initials: M
authors.lastname: Vazquez
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Barquero
authors.forename: Luis
authors.initials: L
authors.lastname: Pastor
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000601:surgery*; D058409:Cardiac Resynchronization Therapy Devices; D003323:Coronary Aneurysm / Q000601:surgery*; D054326:Coronary Sinus / Q000002:abnormalities* / Q000601:surgery; D006333:Heart Failure / Q000517:prevention & control*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome