Transcatheter leadless pacemaker implantation in a patient with failing transvenous pacemaker and total occlusion of superior vena cava

2018 ◽  
Vol 19 (9) ◽  
pp. 511-512 ◽  
Author(s):  
Gabriele Dell’Era ◽  
Stefano Porcellini ◽  
Enrico Boggio ◽  
Eleonora Prenna ◽  
Miriam Gravellone ◽  
...  
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.


2009 ◽  
Vol 2009 (jul14 1) ◽  
pp. bcr0520091849-bcr0520091849
Author(s):  
F. Edwin ◽  
L. Sereboe ◽  
M. M. Tettey ◽  
K. Frimpong-Boateng

2019 ◽  
Vol 83 (10) ◽  
pp. 2082
Author(s):  
Tatsuyuki Sato ◽  
Junichi Ishida ◽  
Toshiya Kojima ◽  
Issei Komuro

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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