Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, Rouen, France. fabien.doguet@chu-rouen.fr
Abstract:
Left phrenic nerve stimulation is a well-known complication of cardiac resynchronization therapy (CRT). We report a case where electronic or anatomical repositioning of the left ventricular (LV) electrode (within the coronary sinus tributaries) was not feasible/effective. Surgical graft interpositioning was performed to successfully isolate the phrenic nerve from the previously implanted coronary sinus epicardial LV lead.