title: Challenging pacemaker implantation: persistent left superior vena cava with absent right superior vena cava.
abstract: A persistent left superior vena cava (PLSVC) in combination with an absent right superior vena cava (RSVC) is a rare congenital cardiovascular abnormality which is usually found by chance during pacemaker (PM) implantation. In this case we describe a PM implantation using right cephalic approach through PLSVC and coronary sinus (CS), with lead fixation in right atrium and a posterolateral branch of the CS.
authors.affiliation: Medisch Spectrum Twente, Department of Cardiology, Haaksbergerstraat 55, Enschede, The Netherlands.
authors.forename: K
authors.initials: K
authors.lastname: Kraaier
authors.forename: J
authors.initials: J
authors.lastname: Poker
authors.forename: C
authors.initials: C
authors.lastname: von Birgelen
authors.forename: M F
authors.initials: MF
authors.lastname: Scholten
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D019919:Prosthesis Implantation / Q000379:methods*; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery*