title: Troubleshooting during pacemaker implant in persistent left superior vena cava with absence of right superior vena cava (isolated persistent left superior vena cava).
abstract: Persistent left superior vena cava (PLSVC) with absence of right SVC (isolated PLSVC) is a rare congenital anomaly that occurs as a result of a degenerative condition in the left anterior cardinal vein. It is generally an incidental finding while performing invasive procedures such as antiarrhythmic device implantation. We report on a rare case of permanent pacemaker implantation in a patient with this anomaly from right subclavian route, albeit most of the earlier reported cases are from left subclavian approach. A wide spectrum of clinicians should be aware of this anomaly, its variations, and possible complications.
authors.affiliation: Department of Cardiology, L.P.S. Institute of Cardiology, GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Mahmadulla
authors.initials: M
authors.lastname: Razi
authors.affiliation: Department of Cardiology, L.P.S. Institute of Cardiology, GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Madaan
authors.affiliation: Department of Cardiology, L.P.S. Institute of Cardiology, GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Goel
authors.affiliation: Department of Cardiology, L.P.S. Institute of Cardiology, GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Santosh Kumar
authors.initials: SK
authors.lastname: Sinha
keywords: Device implantation; pacemaker; persistent left superior vena cava