scholarly journals Biventricular pacemaker implantation via a persistent left superior vena cava after removal of an infected device from the right side

2019 ◽  
Author(s):  
Tasuku Yamamoto ◽  
Masahiko Goya ◽  
Kenji Ando ◽  
Atsuhiko Yagishita ◽  
Shingo Maeda ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Biventricular Pacemaker ◽  
The Right

scholarly journals Successful implantation of a permanent pacemaker through a persistent left superior vena cava by using a right subclavian approach

2011 ◽  
Vol 68 (9) ◽  
pp. 792-794 ◽  
Author(s):  
Zoran Jovic ◽  
Zdravko Mijailovic ◽  
Slobodan Obradovic ◽  
Dragan Tavciovski ◽  
Radomir Matunovic ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Superior Vena ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Passive Electrode ◽  
Pacemaker Leads ◽  
The Right

Introduction. Persistent left superior vena cava, a rare congenital abnormality, can complicate placement of pacemaker leads through the subclavian vein. A left-sided approach is usually preferable in such cases. Case report. We reported a case in which we began a single-chamber pacemaker implantation procedure via a right subclavian approach (because of scarring beneath the left clavicle) and then discovered intraoperatively that the patient had a persistent left superior vena cava. After a few attempts, we succeeded in placing the head of the electrode in the septum, near the top of the right ventricle, and the rest of the procedure was completed without complication. Conclusion. To our knowledge, this is the first reported case of pacemaker implantation, with passive electrode, through a persistent left superior vena cava via the right subclavian vein. This case demonstrates that such an approach, when necessary, can be used successfully.

scholarly journals Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing

2015 ◽  
Vol 3 (2) ◽  
pp. 52-54
Author(s):  
S Subash ◽  
Divya Gopal ◽  
Ashwini Thimmarayappa
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Central Venous Access ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Venous Access ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Pacing Lead ◽  
Chest X Ray

ABSTRACT Patients with persistent left superior vena cava (PLSVC) are usually asymptomatic, but due to its anatomical defects, difficulties in establishing central venous access, pacemaker implantation and cardiothoracic surgery are common. We report a case of 65 years old patient who presented with complete heart block in cardiac critical care and, after emergency transvenous pacing, the chest X-ray showed unusual course of the transvenous pacing lead, which on further transthoracic echocardiographic (TTE) evaluation demonstrated dilated coronary sinus with PLSVC. How to cite this article Subash S, Gopal D, Thimmarayappa A. Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing. J Perioper Echocardiogr 2015; 3(2):52-54.

scholarly journals Successful implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava

2013 ◽  
Vol 70 (12) ◽  
pp. 1162-1164
Author(s):  
Mihailo Vukmirovic ◽  
Lazar Angelkov ◽  
Filip Vukmirovic ◽  
Irena Tomasevic-Vukmirovic
Keyword(s):  
Heart Failure ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Biventricular Pacing ◽  
Severe Heart Failure ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Lead Placement ◽  
The Right

Introduction. Persistent left superior vena cava is the most common thoracic venous abnormality which is usually asymptomatic, found incidentally during pacemaker implantation. The main problem is related to reaching the appropriate pacing site and ensuring stable lead placement. Case report. We reported a successful implantation of a biventricular pacing and defibrillator device (CRT-D) via a persistent left superior vena cava in a 55-year-old man with dilated cardiomyopathy and severe heart failure. A persistent left superior vena cava was detected during CRT-D implantation. We managed to position electrodes in the right ventricular outflow tract, a posterior branch of the coronary sinus and in the right atrium. Conclusion. Congenital anomalies of thoracic veins may complicate lead placement on the appropriate and stable position. The presented case demonstrates a successful biventricular pacing and defibrillator therapy device implantation in a patient with dilated cardiomyopathy and severe heart failure.

Persistent left superior vena cava and its clinical correlation - A cadaveric study

2021 ◽  
Vol 12 (4) ◽  
pp. 118-121
Author(s):  
Sachendra Kumar Mittal ◽  
Rekha Parashar ◽  
Pankaj Kumar Singh ◽  
Leena Jadon
Keyword(s):  
Superior Vena Cava ◽  
Right Atrium ◽  
Superior Vena ◽  
Vena Cava ◽  
Medical Sciences ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Male Cadaver ◽  
The Right ◽  
Brachiocephalic Veins

Background: Presented is a case of persistent left superior vena cava draining into the right atrium through coronary sinus and finally opens into right atrium. Abnormalities of the vascular system are more commonly seen due to its importance in circulation. Persistent left superior vena cava is rare but important congenital vascular anomaly. It results when the left superior cardinal vein caudal to the innominate vein fails to regress.The venous anomaly of a persistent left superior vena cava (PLSVC) affects 0.3%–0.5% of the general population. Normally the superior vena cava is a single vascular structure formed by the union of right and left brachiocephalic veins which are in turn formed by the union of internal jugular and subclavian veins of corresponding side, draining the head and neck as well as the superior extremity. Aims and Objective: To evaluate the accuracy of persistent left superior vena cava and to find out the opening of PLSVC and formations of both SVC. Materials and Methods: During routine dissection of Thorax, we have opened the thoracic cage and take out the Heart. during that we found separate SVC and then we did the study on this PLSVC in the Department of Anatomy, Jaipur National University Institute for Medical Sciences and Research Centre (JNUIMSRC) Jaipur and National Institute of Medical Sciences and Research (NIMS & R). Results: We found persistent left superior vena cava in two cadavers out of 30 cadavers (6.66%) one was 64-year-old male cadaver and another 72-year-old male cadaver. Both the vena cavae were formed as of brachiocephalic veins of the corresponding side. The persistent left superior vena cava opened into the enlarged coronary sinus that drained into the right atrium between the opening of inferior vena cava and right atrio-ventricular orifice. Conclusion: It has important clinical implications in certain clinical interventions. It may complicate placementof cardiac catheters or pacemaker leads.

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