2023, Number 1
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Med Crit 2023; 37 (1)
Pacemaker implantation through the persistent left superior vena cava due to the absence of the right superior vena cava. Report of a case
Guzmán CLA, Guzmán CMI, Muzquiz VAM
Language: Spanish
References: 8
Page: 52-55
PDF size: 368.14 Kb.
ABSTRACT
Introduction: the persistence of the left superior vena cava (PLSVC) has a prevalence of 0.21% in the general population.
Case presentation: 67-year-old male diagnosed with third-degree AV block, requiring pacemaker placement. However, due to the absence of a right superior vena cava, corroborated by CT angiography, a definitive pacemaker was placed through a persistent left superior vena cava.
Conclusion: the persistence of the left superior vena cava (PLSVC) is the most common thoracic venous anomaly. It can cause a number of clinically significant symptoms, even in a heart with normal anatomy. Pacemaker placement makes electrode fixation difficult due to tortuous travel.
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