Marshall to the rescue in cardiac resynchronization therapy: Left ventricular lead placement in coronary sinus ostial atresia

Ranjit Kumar Nath; Ajay Pratap Singh; Dheerendra Kuber; Vatsal Kayal

doi:10.1016/j.ipej.2021.11.003

Marshall to the rescue in cardiac resynchronization therapy: Left ventricular lead placement in coronary sinus ostial atresia

Indian Pacing Electrophysiol J. 2022 Jan-Feb;22(1):58-60. doi: 10.1016/j.ipej.2021.11.003. Epub 2021 Nov 12.

Authors

Ranjit Kumar Nath¹, Ajay Pratap Singh², Dheerendra Kuber¹, Vatsal Kayal¹

Affiliations

¹ Department of Cardiology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
² Department of Cardiology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. Electronic address: [email protected].

Abstract

This case highlights the importance of proper identification of congenital anomalies of the coronary sinus for the successful placement of left ventricular lead during cardiac resynchronization therapy device implantation. We discuss an alternate route for left ventricular lead placement via the vein of Marshall when the coronary sinus ostium in the right atrium was atretic and was facing difficulty initially in detecting the anomaly.

Keywords: Cardiac resynchronization therapy; Congenital anomaly; Coronary sinus; Left ventricular lead placement.

Publication types

Case Reports