Cardiac resynchronisation therapy after percutaneous mitral annuloplasty

Percutaneous approaches to reduce mitral regurgitation in ischemic cardiomyopathy have stirred interest recently.Patients with ischemic cardiomyopathy and functional mitral regurgitation often meet criteria for cardiac resynchronisation therapy to improve left ventricular function as well as mitral regurgitation,and alleviate symptoms.This case shows that implantation of a pacing lead in the coronary sinus to restore synchronous left and right ventricular contraction is feasible,despite the presence of a remodeling device in the coronary sinus.