Coronary Sinus Lead Placement in Patients With Coronary Sinus Ostial Atresia

Abstract

This case series demonstrates 2 innovative approaches to successful coronary sinus lead placement in the setting of coronary sinus ostial atresia. Use of venous phase coronary angiography, a computed tomography scan with venous phase, or a left-sided upper extremity venogram may help reveal a variant anatomy and guide tool selection. (Level of Difficulty: Advanced.)

Keywords

• biventricular pacemaker
• coronary sinus lead
• coronary sinus ostial atresia
• left persistent superior vena cava