Isolated Persistent Left Superior Vena Cava, Sick Sinus Syndrome, and Challenging Pacemaker Implantation

Persistent left superior vena cava with absent right superior vena cava is a very rare venous anomaly and is known as isolated PLSVC. It is usually an asymptomatic anomaly and is mostly detected during difficult central venous access or pacemaker implantation, though it could also be associated with an increased incidence of congenital heart disease, arrhythmias, and conduction disturbances. Herein, we describe a dual-chamber pacemaker implantation in a patient with isolated PLSVC and sick sinus syndrome.

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Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing

Journal of Perioperative Echocardiography ◽

10.5005/jp-journals-10034-1038 ◽

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.

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Successful Hemodialysis Through Persistent Left Superior Vena Cava: a Case Report

Journal of the Association for Vascular Access ◽

10.1016/j.java.2018.06.003 ◽

2018 ◽

Vol 23 (3) ◽

pp. 177-180 ◽

Cited By ~ 1

Author(s):

Priti Meena ◽

Vinant Bhargava ◽

Anurag Gupta ◽

Apurva Srivastava ◽

Lovy Gaur ◽

...

Keyword(s):

Superior Vena Cava ◽

Superior Vena ◽

Central Venous Access ◽

Pacemaker Implantation ◽

Vena Cava ◽

Venous Access ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Hemodialysis Catheter ◽

Radiologic Findings

Abstract Persistent left superior vena cava is an extremely rare venous anomaly affecting 0.5% to 2% of the general population. Persistent left superior vena cava with absent right superior vena cava, also termed as “isolated persistent left superior vena cava.” Persistent left superior vena cava, without associated cardiac anomalies, is usually innocuous. Its discovery, however, has important clinical implications. It can pose clinical difficulties with central venous access, hemodialysis catheter placement, and pacemaker implantation. We hereby present a case of persistent left superior vena cava that was incidentally encountered after the placement of a hemodialysis catheter through the left internal jugular vein. This case highlights the pertinent radiologic findings and emphasizes the importance of familiarity to such an anatomic anomaly.

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