: Coronary sinus ostial atresia (CSOA) is a rare kind of congenital heart anomaly. This creates a new drainage pathway for the cardiac venous flow, with the most common being a persistent left superior vena cava (PLSVC). During the implantation of a cardiac resynchronization therapy defibrillator, we discovered a case of CSOA in a patient who underwent aortic valve and ascending aorta replacement. CSOA led to the research and subsequent identification of a PLSVC, which drained in the CS. The left ventricular pacing lead was appropriately placed in a left lateral vein. This case report highlights the technical aspects and procedural difficulties that characterize this specific anatomical variant.

Santoro, A., Barilli, M., Sisti, N., di Florio, A., Baiocchi, C., Muzzi, L., et al. (2023). Left Ventricular Lead Placement for Biventricular Pacing in a Left Lateral Vein in a Patient with Congenital Atresia of the Coronary Sinus Ostium. THE JOURNAL OF INNOVATIONS IN CARDIAC RHYTHM MANAGEMENT, 14(2), 5328-5331 [10.19102/icrm.2023.14021].

Left Ventricular Lead Placement for Biventricular Pacing in a Left Lateral Vein in a Patient with Congenital Atresia of the Coronary Sinus Ostium

Santoro, Amato
Writing – Review & Editing
;
Barilli, Maria;Sisti, Nicolò;di Florio, Alex;Muzzi, Luigi
Membro del Collaboration Group
;
Neri, Eugenio
Membro del Collaboration Group
2023-01-01

Abstract

: Coronary sinus ostial atresia (CSOA) is a rare kind of congenital heart anomaly. This creates a new drainage pathway for the cardiac venous flow, with the most common being a persistent left superior vena cava (PLSVC). During the implantation of a cardiac resynchronization therapy defibrillator, we discovered a case of CSOA in a patient who underwent aortic valve and ascending aorta replacement. CSOA led to the research and subsequent identification of a PLSVC, which drained in the CS. The left ventricular pacing lead was appropriately placed in a left lateral vein. This case report highlights the technical aspects and procedural difficulties that characterize this specific anatomical variant.
2023
Santoro, A., Barilli, M., Sisti, N., di Florio, A., Baiocchi, C., Muzzi, L., et al. (2023). Left Ventricular Lead Placement for Biventricular Pacing in a Left Lateral Vein in a Patient with Congenital Atresia of the Coronary Sinus Ostium. THE JOURNAL OF INNOVATIONS IN CARDIAC RHYTHM MANAGEMENT, 14(2), 5328-5331 [10.19102/icrm.2023.14021].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/1228626