Implantation of transvenous permanent pacemaker in a patient with persistent left superior vena cava and absent right superior vena cava.
Vascular access has remained a major challenge for implantation of permanent pacemaker leads. A persistent Left Superior Vena Cava (LSVC), especially with an absent Right Superior Vena Cava (RSVC), is a rare finding during pacemaker implantation and is accompanied by technical difficulties. Herein, we describe a case of sinoatrial node arrest, in which finding a suitable vein for passing the lead was challenging. The patient had a persistent LSVC with an absent RSVC.
Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR Iran.
Mohammad Javad
MJ
Alemzadeh-Ansari
Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR Iran.
Akbar
A
Shafiee
Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR Iran.
Ahmad
A
Yaminisharif
Central Venous Catheterization; Pacemaker; Superior Vena Cava; Vascular Malformations