scholarly journals Persistent Left Superior Vena Cava and Absent Right Superior Vena Cava with Left Subclavian Vein Stenosis: Technical Challenges with Pacemaker Implantation

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Khalil Kanjwal ◽  
Michael Soos ◽  
Daniel Gonzalez-Morales ◽  
Ibrahim Shah ◽  
Mohan Madala ◽  
...  

We present a challenging case of a 75-year-old female with a history of paroxysmal atrial fibrillation (PAF) and symptomatic sick sinus syndrome (SSS) who presented for a dual chamber pacemaker implantation and was found to have persistent left superior vena cava and absent right superior vena cava with stenosis of the left subclavian vein. In this report, we discuss the implant technique in this group of patients.

Medicine ◽  
2017 ◽  
Vol 96 (19) ◽  
pp. e6803 ◽  
Author(s):  
Sun Young Park ◽  
Jae Hwa Yoo ◽  
Mun Gyu Kim ◽  
Sang Ho Kim ◽  
Byoung-Won Park ◽  
...  

2011 ◽  
Vol 58 (5) ◽  
pp. 471-472 ◽  
Author(s):  
Diane Commandeur ◽  
Marc Garetier ◽  
Christophe Giacardi ◽  
Sophie Huynh ◽  
Marc Danguy des Deserts ◽  
...  

2011 ◽  
Vol 68 (9) ◽  
pp. 792-794 ◽  
Author(s):  
Zoran Jovic ◽  
Zdravko Mijailovic ◽  
Slobodan Obradovic ◽  
Dragan Tavciovski ◽  
Radomir Matunovic ◽  
...  

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.


2013 ◽  
Vol 52 (22) ◽  
pp. 2533-2535
Author(s):  
Long Yang ◽  
Jionghong He ◽  
Yaxi Zheng ◽  
Zhifang Qin ◽  
Qinan Jiang ◽  
...  

2015 ◽  
Vol 3 (2) ◽  
pp. 52-54
Author(s):  
S Subash ◽  
Divya Gopal ◽  
Ashwini Thimmarayappa

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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