Challenging pacemaker implantation: persistent left superior vena cava with absent right superior vena cava.

Herzschrittmacherther Elektrophysiol

Medisch Spectrum Twente, Department of Cardiology, Haaksbergerstraat 55, Enschede, The Netherlands.

Published: December 2008

A persistent left superior vena cava (PLSVC) in combination with an absent right superior vena cava (RSVC) is a rare congenital cardiovascular abnormality which is usually found by chance during pacemaker (PM) implantation. In this case we describe a PM implantation using right cephalic approach through PLSVC and coronary sinus (CS), with lead fixation in right atrium and a posterolateral branch of the CS.

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http://dx.doi.org/10.1007/s00399-008-0015-4DOI Listing

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