Cardiac resynchronization therapy: can left ventricular lead position make the difference?
Gomes, R.; Santos, J.é M.; Abecasis, J.ão.; Fartouce, S.ér.; Morgado, F.; Adragão, P.; Silva, A.
Revista Portuguesa de Cardiologia Orgao Oficial da Sociedade Portuguesa de Cardiologia 29(10): 1569-1574
2010
ISSN/ISBN: 0870-2551 PMID: 21265495 Document Number: 638012
The authors report the case of an 82-year-old female patient with non-ischemic dilated cardiomyopathy who developed worsening heart failure functional class despite optimal medical therapy. As the patient met criteria for cardiac resynchronization, a CRT-P device was implanted, but due to technical difficulties, the left ventricular lead was implanted in the anterior coronary vein. In the absence of any benefit from the procedure, a new left ventricular lead was implanted in posterolateral position with good clinical and echocardiographic response.