title: What's in a Name? Utilization of the Innominate Vein for Pacemaker Lead Placement in the Setting of Persistent Left Superior Vena Cava.
abstract: Persistent left superior vena cava (PLSVC) represents the most common thoracic venous anomaly and is an important clinical entity for cardiologists and electrophysiologists, among others. In approximately 30% of cases, a bridging innominate vein connects the left superior vena cava to the right. The present report highlights the value of defining the venous anatomy with a case of dual-chamber pacemaker implantation in the PLSVC with the right ventricular lead placed via the innominate vein. Pertinent considerations for device implantation in the setting of this anomaly are discussed and relevant venography reviewed.
authors.affiliation: Cardiovascular Research Institute, University of Kansas Hospital & Medical Center.
authors.forename: Mohammad-Ali
authors.initials: MA
authors.lastname: Jazayeri
authors.affiliation: Division of Cardiology, Hennepin County Medical Center, University of Minnesota Medical School.
authors.forename: Rehan
authors.initials: R
authors.lastname: Karim
keywords: cardiac implantable electronic device; cardiology; congenital anomaly; electrophysiology; fluoroscopy; innominate vein; lead placement; left superior vena cava; permanent pacemaker; plsvc