title: Pacemaker insertion in a patient with persistent left superior vena cava.
abstract: A persistent left superior vena cava (PLSVC) is a rare and usually unnoticed congenital anomaly. However, clinicians must be conscious of its existence as a PLSVC can be associated with other anomalies of cardiovenous morphology with significant clinical implications for transvenous procedures. We report a case of a double superior vena cava with absent innominate vein found during catheterization for cardiac resynchronization pacemaker therapy implantation (CRT-P). We also describe a technique used for successful positioning of the leads into the right atrium and right ventricle.
authors.affiliation: Dept. of Cardiovascular and Thoracic Surgery, OLVrouw Hospital, Aalst, Belgium. barbara.bosch@student.kuleuven.be
authors.forename: Barbara
authors.initials: B
authors.lastname: Bosch
authors.affiliation: Dept. of Cardiovascular and Thoracic Surgery, OLVrouw Hospital, Aalst, Belgium.
authors.forename: Anneleen
authors.initials: A
authors.lastname: Stockman
authors.affiliation: Dept. of Cardiovascular and Thoracic Surgery, OLVrouw Hospital, Aalst, Belgium.
authors.forename: Roel
authors.initials: R
authors.lastname: Beelen
mesh_terms: D054537:Atrioventricular Block / Q000503:physiopathology / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D014683:Vena Cava, Superior / Q000002:abnormalities*