Coronary Sinus Lead Placement in Patients With Coronary Sinus Ostial Atresia: An Innovative Approach

Ata Bajwa; Jashdeep Dhoot; Sanjaya Gupta

doi:10.1016/j.jaccas.2021.02.027

Coronary Sinus Lead Placement in Patients With Coronary Sinus Ostial Atresia: An Innovative Approach

JACC Case Rep. 2021 Apr 21;3(4):614-618. doi: 10.1016/j.jaccas.2021.02.027. eCollection 2021 Apr.

Authors

Ata Bajwa^{1

2}, Jashdeep Dhoot³, Sanjaya Gupta^{1

2}

Affiliations

¹ Saint Luke's Mid America Heart Institute, Kansas City, Missouri, USA.
² University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USA.
³ Providence Medical Institute, Torrance, California, USA.

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: CRT, cardiac resynchronization therapy; CS, coronary sinus; CSOA, coronary sinus ostial atresia; PLSVC, persistent left superior vena cava; SVC, superior vena cava; biventricular pacemaker; coronary sinus lead; coronary sinus ostial atresia; left persistent superior vena cava.

Publication types

Case Reports