scholarly journals Left-Sided Implantation of a Defibrillator Lead in Persistent Left Superior Vena Cava

2020 ◽  
Author(s):  
Evelien De Roo ◽  
Frederik Van Durme ◽  
Laurent Vanneste ◽  
Becker Alzand ◽  
Alex Heyse
Keyword(s):  
Heart Failure ◽  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Systolic Heart Failure ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Defibrillator Lead ◽  
The Moment

Persistent left superior vena cava (PLSVC) is a congenital venous abnormality, characterized by an enlarged coronary sinus, in most cases without haemodynamic consequences. We report the case of a patient with systolic heart failure undergoing implantation of a defibrillator lead through a PLSVC which was diagnosed at the moment of implantation.

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.

scholarly journals Persistent Left Superior Vena Cava Suggested by an Unusual Central Venous Pressure Waveform

2020 ◽  
Vol 09 (01) ◽  
pp. e15-e17
Author(s):  
Sujana Dontukurthy ◽  
Yoshikazu Yamaguchi ◽  
Joseph D. Tobias
Keyword(s):  
Central Venous Pressure ◽  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Venous Pressure ◽  
Vena Cava ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Defect Repair

Abstract Background A persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the thoracic venous return. Case Description During atrial septal defect repair, a pulmonary artery (PA) catheter was placed via the left internal jugular vein. Although placement of the PA catheter in the main PA was confirmed by transesophageal echocardiography, the central venous pressure (CVP) waveform was abnormal. Intraoperatively, the PA catheter was seen exiting the coronary sinus with the CVP port within the coronary sinus. Conclusions The diagnosis of PLSVC is discussed and the differential diagnosis of the abnormal “ventricular” pattern of the CVP waveform is reviewed.

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