All of them received three chamber biventricular pacing and the left ventricular pacing lead was inserted into a cardiac vein through coronary sinus.

The left ventricular lead was implanted in branch of coronary sinus, 16 in great cardiac vein, 9 in latherier vein, 21 in latherier posterior vein, 23 in posterior vein and 2 in middle cardiac vein.

Conclusions Surgical operation is the major treatment. The splenorenal shunt may acquire the good effect in these patients who had underwent splenectomy and mutilation of cardiac peripheral vein.