<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Cardiac resynchronization therapy is an essential tool for treating patients with heart failure in different types of dilatative cardiomyopathy with bundle branch block. This technique is wildly used with significant benefits in terms of quality of life and effort tolerability along with optimized medical therapy. In spite of its benefits, several factors may influence its efficacy such as etiology, lead position, or device settings. In some cases, the anatomical variance of the coronary sinus could create technical difficulties for advancing the left ventricular lead. This case report describes a female patient presenting with decompensated heart failure, known with complicated sclerosis multiplex and a fibrous tissue in the coronary sinus, which created a critical obstruction leading to impossibility to advance the left ventricular lead. This case underlines the importance of appropriate imaging investigation for optimal interventional approach in these difficult cases.</p>
</abstract>

Cardiac resynchronization therapy is an essential tool for treating patients with heart failure in different types of dilatative cardiomyopathy with bundle branch block. This technique is wildly used with significant benefits in terms of quality of life and effort tolerability along with optimized medical therapy. In spite of its benefits, several factors may influence its efficacy such as etiology, lead position, or device settings. In some cases, the anatomical variance of the coronary sinus could create technical difficulties for advancing the left ventricular lead. This case report describes a female patient presenting with decompensated heart failure, known with complicated sclerosis multiplex and a fibrous tissue in the coronary sinus, which created a critical obstruction leading to impossibility to advance the left ventricular lead. This case underlines the importance of appropriate imaging investigation for optimal interventional approach in these difficult cases.

Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis

“George Emil Palade” University of Medicine, Pharmacy, Science and Technology

Journal of Cardiovascular Emergencies

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Cardiac resynchronization therapy is an essential tool for treating patients with heart failure in different types of dilatative cardiomyopathy with bundle...

Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis

Published Online: Jun 30, 2023

Page range: 38 - 42

Received: Mar 31, 2023

Accepted: May 08, 2023

DOI: https://doi.org/10.2478/jce-2023-0005

Keywords
cardiac resynchronization, heart failure, systemic sclerosis, coronary sinus venoplasty, dilatative cardiomyopathy

© 2023 Zsolt Parajkó et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis

Published Online: Jun 30, 2023

Page range: 38 - 42

Received: Mar 31, 2023

Accepted: May 08, 2023

DOI: https://doi.org/10.2478/jce-2023-0005

Keywordscardiac resynchronization, heart failure, systemic sclerosis, coronary sinus venoplasty, dilatative cardiomyopathy

© 2023 Zsolt Parajkó et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
cardiac resynchronization, heart failure, systemic sclerosis, coronary sinus venoplasty, dilatative cardiomyopathy