title: Implantation of a dual-chamber cardioverter defibrillator system in a patient with dilated cardiomyopathy, pulmonary hypertension and persistent left superior vena cava.
abstract: 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.
authors.affiliation: Department of Cardiology, Henry Dunant Hospital, Athens, Greece. andrikop@hotmail.com
authors.forename: George
authors.initials: G
authors.lastname: Andrikopoulos
authors.forename: Stylianos
authors.initials: S
authors.lastname: Tzeis
authors.forename: Stavros
authors.initials: S
authors.lastname: Kounas
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Daskalopoulos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Mantas
authors.forename: Panos
authors.initials: P
authors.lastname: Vardas
authors.forename: George
authors.initials: G
authors.lastname: Theodorakis
mesh_terms: 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