Persistent left superior vena cava occurs in approximately 0.5% of the population. This may complicate pacemaker implantation by making lead insertion difficult and causing lead instability through the left cephalic vein and the subclavian vein approach. We used a wide loop technique in the right atrium and successfully advanced the lead in the right ventricle apex. A persistent left superior vena cava does not preclude successful lead placement.
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References
1.
Spearman P., Leier CV: Persistent left superior vena cava; unusual wave contour of left jugular vein as the presenting feature. Am Heart J120:999-1002, 1990.
2.
Campell M., Deuchar DC: Left-side superior vena cava. Br Heart J16:423-439, 1954.
3.
Dirix LY, Kersschot IE, Fierens H., et al: Implantation of dual chamber pacemaker in a patient with persistent left superior vena cava. PACE11:343-345, 1988.
4.
Zerbe F., Bornakowski J., Sarnowski W.: Pacemaker electrode implantation in patient with persistent left superior vena cava. Br Heart J67:65-66, 1992.
5.
Switzer BJ, Hoffman W., Allyn JW, Doggett WJ: Diagnosis of a left-sided superior vena cava during placement of pulmonary artery catheter. J Clin Anesth5:500-504, 1993.
6.
Horrow JC, Lingaraju N.: Unexpected persistent left superior vena cava: Diagnostic clues during monitoring . J Cardiothorac Anesth3:11-615, 1989.
7.
Ronnevik PK, Abrahamsen AM, Tollefsen I.: Transvenous pacemaker via a unilateral left superior vena cava. PACE5:808-813, 1982.
8.
James TN, Marshall TK, Edwards JE: Electrical instability in the presence of a unilateral left superior vena cava. Circulation54:689-697, 1976.
9.
James TN, Marshall TK, Edwards JE: Cardiac electrical istability in the presence of left superior vena cava. Ciculation54:689-697, 1976.
10.
Momma K., Linbe LM: Abnormal rhythm associated with persistent left superior venca cava. Pediatr Res3:210-216, 1969.
11.
Choudhry AK , Conacher ID, Hilton CJ, et al: Persistent left superior vena cava . J Cardiothorac Anesth3:616-619, 1989.
12.
Leibowitz AB , Halpern NA, Lee MH, Iberti TJ: Left-sided superior vena cava: A not-so-unusual vascular abnormaly discovered during central venous and pulmonary artery catheterization . Crit Care Med20:1119-1122, 1992 .
13.
Cha EM, Khouury GM: Persistent left superior vena cava. Radiology103:375-381, 1972.
14.
Hibi N., Fukui Y., Nishimura K., et al: Cross-sectional echocardiographic study on persistent left vena cava. Am Heart J100:69-76, 1980.
15.
Zellers TM, Hagler DJ, Julsrud PR: Accuracy of two-dimensional echocardiography in diagnosing left superior vena cava. J Am Soc Echocardiogr2:132-138, 1989.
16.
Ramsdale DR , Charles RG: Endocardial pacing in a patient with sinus node dysfunction and absent right superior vena cava. Br Heart J52:230, 1984.
17.
Robbens EJ, Ruiter JH: Atrial pacing via unilateral persistent left superior vena cava. PACE9:594-596, 1986.
18.
Roberts DH, Bellamy CM, Ramsdale DR: Implantation of dual chamber pacemaker in a patient with persistent left superior vena cava. Int J Cardiol36:242-243, 1992.
19.
Ward DE, Clarke B., Schofield PM, et al: Long-term transvenous ventricular pacing in adults with congenital abnormalities of the heart and great arteries. Br Heart J50:325-329, 1983.
20.
Nooten GV, Verbeet T., Deuvaert FE: Atrial perforation by a screw-in electrode via a left superior vena cava. Am Heart J119:1439-1440, 1990.
