Article
Unusual pacemaker implantation through a left sided superior vena cava via anonymous vein after heart transplantion.
Heart Center North-Rhine Westfalica, Department of Cardio-Thoracic Surgery, Ruhr University of Bochum, Bad Oeynhausen, Germany.
Minerva cardioangiologica
09/2006;
54(4):499-501.
pp.499-501
Source: PubMed
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Article: Successful implantation of a permanent pacemaker through a persistent left superior vena cava by using a right subclavian approach.
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ABSTRACT: Persistent left superior vena cava, a rare congenital abnormality, can complicate placement of pacemaker leads through the subclavian vein. A left-sided approach is usually preferable in such cases. We reported a case in which we began a single-chamber pacemaker implantation procedure via a right subclavian approach (because of scarring beneath the left clavicle) and then discovered intraoperatively that the patient had a persistent left superior vena cava. After a few attempts, we succeeded in placing the head of the electrode in the septum, near the top of the right ventricle, and the rest of the procedure was completed without complication. To our knowledge, this is the first reported case of pacemaker implantation, with passive electrode, through a persistent left superior vena cava via the right subclavian vein. This case demonstrates that such an approach, when necessary, can be used successfully.Vojnosanitetski pregled. Military-medical and pharmaceutical review 09/2011; 68(9):792-4. · 0.18 Impact Factor
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Keywords
56-year-old male heart transplant recipient
anonymous vein
left sided superior vena cava
postoperative pacemaker implantation
specific anatomic conditions
