Figure 150

Intraoperative view (frontal) showing two leads introduced through the CS to to pace the left ventricle.
(1) A bipolar CS lead (Medtronic2188) positioned in the proximal part of the great cardiac vein to pace the LV anterior base
(2) a unipolar convential lead inserted in an anterolateraal vein over the LV free wall
(3) the right ventricular lead is placed at the RV apex.