Korean Circ J.  2004 Jun;34(6):623-626. 10.4070/kcj.2004.34.6.623.

A Case of Successful Implantation of a DDD Type Permanent Pacemaker in a Patient with Persistent Left Superior and Absent Right Superior Vena Cava

• Bae JW
• Oh S
• Kang HJ
• Kim KI
• Park YB
• Choi YS

• KMID: 1858914
• DOI: http://doi.org/10.4070/kcj.2004.34.6.623

Abstract

Persistent left superior vena cava is a rare congenital anomaly resulting from the failure of the left cardinal vein to degenerate in utero. This anomaly was discovered in 0.3% of large autopsy examinations. Its most relevant clinical implication is the association with cardiac impulse formation and conduction problems. In the case of DDD pacemaker implantation for this anomaly, skillful manual stylet shaping is required or an active fixation device, for example a screw device for stable positioning of pacemaker leads, is needed. We experienced a case of sick sinus syndrome in a patient with persistent left superior and absent right superior vena cava in 72-year-old man. We successfully implanted a DDD type pacemaker through the left superior vena cava via coronary sinus. This is the first Korean report of a successfully implanted permanent pacemaker in a patient with persistent left superior and absent right superior vena cava.

Keyword

Persistence left superior vena cava; Sick sinus syndrome; Pacemaker artificial

MeSH Terms

Aged
Autopsy
Coronary Sinus
Dichlorodiphenyldichloroethane*
Humans
Sick Sinus Syndrome
Veins
Vena Cava, Superior*
Dichlorodiphenyldichloroethane