Cardiac Resynchronization Therapy in Anomalous Coronary Sinus: A Case Report

Abeeda Tasnim Reza, M. A. Ali, S. Nabi, P. Bala, A. Tushar, Md Shariful Islam, U. H. Ferdaushi, M. Khan, Nighat Islam, Humaira Jannath
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Abstract

A 37-year-old man, a known case of Dilated Cardiomyopathy (DCM) with Post PPM (Permanent Pacemaker) status for last 3 years underwent upgrading of PPM to Cardiac Resynchronization Therapy Pacemaker (CRT-P) in a specialized cardiac center. During the implantation procedure, there was anomalous branching of coronary sinus with absence of lateral branch & presence of a highly tortuous posterior branch causing difficulty in lead placement. Finally left ventricular (LV) lead was placed in the tortuous branch using Judkin’s right catheter. Lead position was stable with excellent threshold. The patient has been followed up with improvement of symptoms. Bangladesh Heart Journal 2023; 38(2): 155-157
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冠状动脉窦异常的心脏再同步疗法:病例报告
一名 37 岁的男子患有扩张型心肌病(DCM),过去 3 年一直处于永久起搏器(PPM)后状态,在一家专业心脏中心将 PPM 升级为心脏再同步治疗起搏器(CRT-P)。在植入过程中,冠状动脉窦的分支出现异常,没有侧支,但存在高度迂曲的后支,导致导联放置困难。最后,使用 Judkin's 右导管将左心室导联放置在迂曲的分支上。导联位置稳定,阈值极佳。孟加拉心脏杂志》2023;38(2):155-157
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