Venoplasty of innominate bridge during implantation of single-chamber ICD in a patient with a persistent left-sided superior vena cava.

Pacing Clin Electrophysiol

Arrhythmia Service of the Albert Einstein College of Medicine, Montefiore Medical Center, Department of Cardiology, Weiler Hospital, Bronx, New York, USA.

Published: August 2008

The persistent left-sided superior vena cava (PLSVC) is a common congenital abnormality, occurring in approximately 1% of patients. The presence of a PLSVC can complicate the implantation of a pacemaker or an automatic implantable cardioverter-defibrillator (AICD). In this case, we report a procedure, venoplasty of an innominate branch, to facilitate implantation of a right ventricular lead in a single-chamber AICD. This approach could potentially reduce procedure and fluoroscopy time in other similar cases.

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http://dx.doi.org/10.1111/j.1540-8159.2008.01140.xDOI Listing

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