Implantation of Transvenous Permanent Pacemaker in a Patient with Persistent Left Superior Vena Cava and Absent Right Superior Vena Cava

authors:

avatar Mohammad Javad Alemzadeh-Ansari 1 , avatar Akbar Shafiee 1 , avatar Ahmad Yamini Sharif 1 , *

Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran

how to cite: Alemzadeh-Ansari M J , Shafiee A , Yamini Sharif A. Implantation of Transvenous Permanent Pacemaker in a Patient with Persistent Left Superior Vena Cava and Absent Right Superior Vena Cava. Int Cardiovasc Res J. 2013;7(4):e12380. 

Abstract

Vascular access has remained a major challenge for implantation of permanent pacemaker leads. A persistent Left Superior Vena Cava (LSVC), especially with an absent Right Superior Vena Cava (RSVC), is a rare finding during pacemaker implantation and is accompanied by technical difficulties. Herein, we describe a case of sinoatrial node arrest, in which finding a suitable vein for passing the lead was challenging. The patient had a persistent LSVC with an absent RSVC.

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