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http://dx.doi.org/10.3904/kjm.2014.87.3.328

Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava  

Kim, Areum (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine)
Kim, Dae-Hyeok (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine)
Kwan, Jun (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine)
Park, Keum-Soo (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine)
Lee, Woo-Hyung (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine)
Publication Information
The Korean Journal of Medicine / v.87, no.3, 2014 , pp. 328-333 More about this Journal
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.
Keywords
Persistent left superior vena cava; Implantable cardioverter-defibrillator;
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