Korean J Med.
2014 Sep;87(3):328-333. 10.3904/kjm.2014.87.3.328.
Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. kdhmd@inha.ac.kr
- KMID: 2269244
- DOI: http://doi.org/10.3904/kjm.2014.87.3.328
Abstract
- The prevalence of persistent left superior vena cava (PLSVC) in the general population has been estimated to be approximately 0.3%, as determined by autopsy. PLSVC is hemodynamically insignificant if it is not associated with other congenital cardiac anomalies, and usually goes unrecognized until a left superior approach to the heart is required. Here, we report a 60-year-old male diagnosed with dilated cardiomyopathy, who had survived an episode of sudden cardiac arrest with documented ventricular fibrillation. PLSVC was recognized incidentally while implanting an implantable cardioverter-defibrillator (ICD). The ICD was successfully implanted through the left superior vena cava via the coronary sinus using a straight stylet and an active fixation device.
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