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Korean Circ J. 2008 Feb;38(2):128-130. English. Case Report.
Kim HL , Kim MK , Min HS , Choi BY , Choi EK , Kwak JJ , Choi YS , Oh S .
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

In patients with situs inversus totalis, the superior vena cava is normally positioned on the left side and drains into a left-sided right atrium (RA). If right-side superior vena cava (RSVC) is also present, it should be thought of as a combined congenital anomaly. Here, we report a case of successful pacemaker lead insertion through the RSVC in a patient with situs inversus totalis. The left-side superior vena cava (LSVC) had been already used as a route for the first pacemaker lead insertion 15 years earlier. During the pacemaker lead revision, we found that the LSVC was obliterated, and used the RSVC as a route for a new pacemaker lead insertion.

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