title: Persistent Left Superior Vena Cava: A Rare Case with Clinical Significance.
abstract: Persistent Left Superior Vena Cava (PLSVC) is a rare congenital vascular anomaly (incidence of 0.3-0.5% of the general population) which being mostly asymptomatic in its presentation, is usually detected incidentally. There are many practical clinical implications associated with it including arrhythmias. We report a rare case of PLSVC with absent Right Superior Vena Cava (RSVC) (isolated PLSVC), in a 55-year-old lady who had complete heart block followed by sepsis and was diagnosed to have this condition during the permanent cardiac pacemaker implantation and central venous catheter insertion showing an abnormal path of the catheter/pacing leads. The authors also give an insight into its clinical relevance.
authors.affiliation: Attending Consultant, Department of Respiratory Intensive Care, Max Super Specialty Hospital , Saket, New Delhi, India .
authors.forename: Gautam
authors.initials: G
authors.lastname: Rawal
authors.affiliation: Senior Consultant and Incharge, Department of Respiratory Intensive Care, Max Super Specialty Hospital , Saket, New Delhi, India .
authors.forename: Raj
authors.initials: R
authors.lastname: Kumar
authors.affiliation: General Duty Medical Officer-II, Department of Medicine & TB, Chest Clinic Moti Nagar , North Delhi Municipal Corporation, New Delhi, India .
authors.forename: Sankalp
authors.initials: S
authors.lastname: Yadav
authors.affiliation: Attending Consultant, Department of Respiratory Intensive Care, Max Super Specialty Hospital , Saket, New Delhi, India .
authors.forename: Deepak
authors.initials: D
authors.lastname: Verma
keywords: Computed tomography; Coronary sinus; Echocardiogram; Vascular malformation