Cardiac defibrillator implantation via persistent left superior vena cava – sometimes this approach is facile. A case report
نویسندگان
چکیده
We report a case of persistent left superior vena cava (PLSVC) incidentally recognized during the implantation of a cardioverter-defibrillator. PLSVC is the most common venous anomaly of the thorax and drains into the right atrium. There are a lot of publications reporting success of pacemaker or defibrillator lead implantations via PLSVC. In this article we present the technique of approaching the right ventricle and right atrium via PLSVC; sometimes this method can be as straightforward as the classical way. Therefore, if PLSVC is recognized intra-operatively, we suggest continuing left-sided implantation, and considering a right venous access only in case of failure.
منابع مشابه
Persistent Left Superior Vena Cava in Patients Undergoing Cardiac Device Implantation: Clinical and Long-Term Data
BACKGROUND Persistent left superior vena cava (LSVC) is a rare congenital venous anomaly that may be found at the time of cardiac device lead insertion. METHODS In this case series, we present clinical and long-term data of five patients with LSVC who underwent pacemaker (PM) or cardioverter defibrillator (ICD) implantation during the period of 10 years. RESULTS Left-sided venous approach w...
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Persistent left superior vena cava represents a congenital venous anomaly that poses a particular obstacle to the implantation of cardiac rhythm management devices. In the present report we briefly describe the rightsided implantation of a biventricular defibrillator in a patient with persistent left superior vena cava. We also briefly discuss the technically challenging procedures applied in s...
متن کاملLong-term follow-up after pacemaker implantation via persistent left superior vena cava.
BACKGROUND The persistent left superior vena cava (PLSVC) is a relatively common con-genital venous return anomaly. It may have serious clinical implications especially in case of pacemaker/cardioverter-defibrillator implantation, venous catheter insertion, radio-frequency ablation and cardiac surgery. There is also some evidence that PLSVC may be accompanied by arrhythmias. The aim of this rep...
متن کاملCardiac Resynchronization Therapy in a Patient with Persistent Left Superior Vena Cava Draining into the Coronary Sinus and Absent Innominate Vein: A Case Report and Review of Literature
INTRODUCTION Persistent left superior vena cava (PLSVC) is a rare congenital anomaly of the superior venous system that may be discovered at the time of cardiac implantable electronic device (CIED) implantation. METHODS AND RESULTS We present a subject who needed cardiac resynchronization therapy (CRT)-CIED implantation and was discovered to have PLSVC with absent innominate vein during the i...
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