Permanent pacemaker lead implantation via azygous vein in a patient with silent superior vena cava syndrome.
Occlusion of the superior vena cava is a rare but serious complication of transvenous endocardial pacing. We describe an unusual approach for permanent pacemaker implantation using the azygous vein in a patient with occlusion of the bilateral total subclavian and innominate veins after previous bilateral pectoral pacemaker implantation. Endocardial pacing using the azygous vein with minimal invasive thoracotomy may be a good option for patients with inaccessible subclavian route.
Goktekin
Omer
O
Besoglu
Yavuz
Y
Dogan
Sait M
SM
Birdane
Alparslan
A
Unalir
Ahmet
A
Gorenek
Bulent
B
Kudaiberdieva
Gulmira
G
Cavusoglu
Yuksel
Y
Ata
Necmi
N
Aslan
Recep
R
Timuralp
Bilgin
B
D000368:Aged; D001401:Azygos Vein; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D019919:Prosthesis Implantation / Q000379:methods*; D013479:Superior Vena Cava Syndrome / Q000628:therapy*; D016896:Treatment Outcome