Symptomatic exercise-induced complete atrioventricular block due to severe superior vena cava stenosis

2016 ◽  
Vol 215 ◽  
pp. 167-168
Author(s):  
Emmanouel Simantirakis ◽  
Maria Marketou ◽  
Elias Kehagias ◽  
Emmanouel Kanoupakis ◽  
Michael Hamilos ◽  
...  
2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Taiyo Kawaguchi ◽  
Shoichiro Yatsu ◽  
Tomoyuki Shiozawa ◽  
Satoru Suwa

Abstract Background Congenital absence of superior vena cava (CASVC) is an extremely rare vascular anomaly often associated with conduction disturbances which makes implantation of a pacemaker difficult. We report a case of pacemaker implantation in a patient presenting with complete atrioventricular block (c-AVB) with bilateral absence of the SVC. Case summary A 68-year-old man who had experienced dyspnoea on exertion by c-AVB was admitted to our hospital for treatment and management. Permanent pacemaker insertion was initially planned; however, an endocardial pacemaker lead could not be implanted in the right atrium. Computed tomography scan with contrast revealed that the venous blood from the upper half of the body flowed into the inferior vena cava via the azygos vein. Due to the difficulty of inserting an endocardial lead from the subclavian vein, a leadless pacemaker (LP) was implanted instead via the femoral vein. Discussion This is the first case of an LP implantation in a patient presenting with c-AVB with CASVC. Confirmation of blood vessel anatomy to rule out CASVC is necessary prior to pacemaker implantation when abnormal venous anatomy is suspected.


2017 ◽  
Vol 78 (1) ◽  
pp. 47
Author(s):  
Alexandra Mesquita ◽  
Fátima Braga

2021 ◽  
Vol 14 (4) ◽  
pp. e242418
Author(s):  
Mozhu Li ◽  
Seth Toomay ◽  
Mark H Drazner ◽  
Jennifer T Thibodeau

Bendopnea, or dyspnoea with bending forward, is a recently described symptom of heart failure that is associated with elevated ventricular filling pressures. Here, we describe a case of superior vena cava (SVC) stenosis that presented with bendopnea and resolved with SVC recanalisation. We suggest that SVC stenosis be considered in the differential diagnosis of patients who experience bendopnea.


2021 ◽  
Vol 3 (2) ◽  
pp. e200561
Author(s):  
Andrea C. Furlani ◽  
Matthew Lazarus ◽  
Anna Shmukler ◽  
Jeffrey M. Levsky ◽  
Nicole J. Sutton ◽  
...  

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