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Home ››› Projects ››› Journal of Clinical Medicine ››› JCM e-Edition ››› JCM vol. 3, issue 2, 2010 ››› DIFFICULT INTUBATION OF THE CORONARY SINUS (CS) DURING IMPLANTATION OF CARDIAC RESYNCHRONIZATION THERAPY (CRT) SYSTEM IN PATIENTS WITH EXTREMELY DILATED HEART CAVITIES

Contents:

DIFFICULT INTUBATION OF THE CORONARY SINUS (CS) DURING IMPLANTATION OF CARDIAC RESYNCHRONIZATION THERAPY (CRT) SYSTEM IN PATIENTS WITH EXTREMELY DILATED HEART CAVITIES

Case Report
 
Author: Sv. Iovev, Y. Dzhorgova, B. Slavchev, M. Stoilova
UNSHAT “St. Ekaterina” – Sofia
 
Author for contacts: Sv. Yovev, MU – Sofia, Clinic of Cardiology, Department of Electrocardiostimulation and Electrocardiophysiology, UNSHAT “St. Ekaterina”, 52A Pencho Slaveikov Blvd. – Sofia, Bulgaria; tel: +359 2 915 97 24, e-mail: sviovev@yahoo.com

Abstract
The final phase of the disease “Cardiomyopathy” manifests itself with significant reduction in the pump function of the heart and extremely dilated heart cavities. The dilation of the heart cavities can reach 2-3 times their normal size, as this is often associated with internal deformation and change of the spatial orientation of cardiac structures. In this case report, we show one of the most common problems with implantation of Cardiac Resynchronization Therapy (CRT) systems – the intubation of the coronary sinus.
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