Persistent left superior vena cava as a cause for an unsuccessful ICD implant.
Transvenous ICD implantation has become a routine procedure at cardiologic centers. If such procedures fail because lead placement in the heart is impossible, anomalies of the venous vascular system should be considered. A persistent left-sided superior vena cava (LPSVC) with transition into the coronary sinus (CS) may be a cause of implantation difficulties. We describe the case of a 70-year-old patient, in whom non-invasive evidence of LPSVC was successfully gathered through contrast medium-supported transthoracic and transesophageal echocardiography and magnetic resonance imaging (MRI). System implantation from the right side was performed thereafter without problems.
Fischer
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Innere Medizin/Kardiologie, Klinikum Dorothea Ch. Erxleben, Ditfurter Weg 24, 06484, Quedlinburg, Deutschland. s.fischer@klinikum-quedlinburg.de
Höfs
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D002908:Chronic Disease; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D017211:Treatment Failure; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery*