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Document Details :

Title: A dilemma in the electrophysiology lab: where is the coronary sinus in a patient with left inferior vena cava with hemiazygos continuation?
Author(s): Y. Hacioglu , A. Deshmukh , S. Pant , H. Paydak
Journal: Acta Cardiologica
Volume: 67    Issue: 3   Date: 2012   
Pages: 343-346
DOI: 10.2143/AC.67.3.2160725

Abstract :
Occasionally, electrophysiological interventions are complicated by an unusual or an anomalous cardiovascular anatomy. We report our experience of a case of situs ambiguous and symptomatic heart failure of which anomalous venous anatomy and coronary sinus variation had prevented a successful endocardial placement of a left ventricular lead for cardiac synchronization therapy.