Images in cardiovascular medicine. Placement of a left ventricular pacing lead after balloon angioplasty of a coronary vein stenosis: coronary sinus obstruction as a complication after mitral valve operation.


A 77-year-old man was admitted to our hospital for revision of his single-chamber ventricular pacemaker to a biventricular pacing device. He showed class 4 symptoms of congestive heart failure, a history of idiopathic dilated cardiomyopathy, chronic atrial fibrillation, a 15% ejection fraction during echocardiography, and left bundle-branch block with a QRS… (More)
DOI: 10.1161/CIRCULATIONAHA.108.771584


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