Tamin Syahidah Syed, Hussin Azlan, Za Imran, Halmey Nik, Azman Wan
Department of Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Pacing Clin Electrophysiol. 2007 Feb;30(2):276-9. doi: 10.1111/j.1540-8159.2007.00662.x.
Coronary sinus perforation is a relatively uncommon but much feared complication that may occur during the placement of left ventricular pacing lead. Coronary sinus perforation, especially in the presence of an obstructive flap, usually indicates the need to abandon the implantation attempt, as there are difficulties in crossing the obstructive flap as well as uncertainty of whether the lead is in the true lumen or into the pericardial space. We describe our experience in successfully placing the left ventricular lead safely despite the problems arising from these circumstances.
冠状静脉窦穿孔是一种相对少见但令人十分恐惧的并发症，可能发生在左心室起搏导线置入过程中。冠状静脉窦穿孔，尤其是存在阻塞性瓣叶时，通常意味着需要放弃植入尝试，因为跨越阻塞性瓣叶存在困难，且导线是否位于真腔或心包腔内也不确定。我们描述了尽管存在这些情况引发的问题，但仍成功安全地置入左心室导线的经验。
