Single Chamber Pacemaker Implantation in a Patient with Persistent Left Superior Vena Cava and Right Superior Vena Cava Occlusion: A Technical Challenge Solved with a Particular Right Ventricular Lead

authors:

avatar Patrizio Mazzone 1 , * , avatar Fabrizio Guarracini 2 , avatar Andrea Radinovic 1 , avatar Silvio Romano 2 , avatar Federico Migliore 3 , avatar Maria Penco 2 , avatar Paolo Della Bella 1

Arrhythmia Unit and Electrophysiology Laboratories, San Raffaele Scientific Institute Hospital, Università Vita-Salute, Milan, Italy
Cardiology Department, University of L’Aquila, L'Aquila, Italy
Department of Cardiac Thoracic and Vascular Sciences, University of Padua Medical School, Padua, Italy

how to cite: Mazzone P , Guarracini F , Radinovic A , Romano S , Migliore F , et al. Single Chamber Pacemaker Implantation in a Patient with Persistent Left Superior Vena Cava and Right Superior Vena Cava Occlusion: A Technical Challenge Solved with a Particular Right Ventricular Lead. Int Cardiovasc Res J. 2015;9(3):e11242. 

Abstract

Persistent Left Superior Vena Cava (PLSV) may be found incidentally during pacemaker or implantable cardioverter defibrillator implantation, making the procedure challenging. Herein, we reported the first case of PM implantation via PLSV in a patient with right superior vena cava occlusion, using a coronary sinus delivery system and a long (85 cm) active fixation right ventricular pacing lead.

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