Implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava.
A persistent left superior vena cava was discovered in a 66-year-old man with heart failure undergoing implantation of a biventricular pacing and defibrillator device. An active fixation right ventricular defibrillator lead was placed through a curved guiding catheter. A sub-selection catheter and a guidewire allowed the engagement of a posterior-lateral branch of the coronary sinus, performance of an angiogram without an occlusive balloon, and optimal lead placement. The right atrial lead was positioned using a standard stylet. Despite the technical challenges, implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava is safe and feasible.
Kapetanopoulos
Athanasios
A
Interventional Cardiology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Peckham
Gene
G
Kiernan
Francis
F
Clyne
Christopher
C
Kluger
Jeffrey
J
Migeed
Magdy A
MA
D000368:Aged; D017147:Defibrillators, Implantable; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D014683:Vena Cava, Superior / Q000002:abnormalities*; D018487:Ventricular Dysfunction, Left / Q000628:therapy*