Implantation of a dual-chamber cardioverter defibrillator system in a patient with dilated cardiomyopathy, pulmonary hypertension and persistent left superior vena cava.
We report the case of a dual-chamber cardioverter defibrillator (ICD) implantation in a young patient with a persistent left superior vena cava. The patient had biventricular dilatation, pulmonary hypertension and severely depressed left ventricular ejection fraction due to non-ischemic cardiomyopathy. Appropriate use of currently available, low profile active fixation leads allowed safe implantation of both leads through the left subclavian vein.
Andrikopoulos
George
G
Department of Cardiology, Henry Dunant Hospital, Athens, Greece. andrikop@hotmail.com
Tzeis
Stylianos
S
Kounas
Stavros
S
Daskalopoulos
Nikolaos
N
Mantas
Ioannis
I
Vardas
Panos
P
Theodorakis
George
G
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000628:therapy*; D017147:Defibrillators, Implantable; D005471:Fluoroscopy; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D013318:Stroke Volume; D014683:Vena Cava, Superior / Q000002:abnormalities*; D018487:Ventricular Dysfunction, Left / Q000209:etiology