Venoplasty of innominate bridge during implantation of single-chamber ICD in a patient with a persistent left-sided superior vena cava.
The persistent left-sided superior vena cava (PLSVC) is a common congenital abnormality, occurring in approximately 1% of patients. The presence of a PLSVC can complicate the implantation of a pacemaker or an automatic implantable cardioverter-defibrillator (AICD). In this case, we report a procedure, venoplasty of an innominate branch, to facilitate implantation of a right ventricular lead in a single-chamber AICD. This approach could potentially reduce procedure and fluoroscopy time in other similar cases.
Tauras
James M
JM
Arrhythmia Service of the Albert Einstein College of Medicine, Montefiore Medical Center, Department of Cardiology, Weiler Hospital, Bronx, New York, USA.
Palma
Eugen C
EC
D016121:Brachiocephalic Veins / Q000002:abnormalities* / Q000601:surgery*; D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D013479:Superior Vena Cava Syndrome / Q000601:surgery*; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery*