A Case of Successful Implantation of a DDD Type Permanent Pacemaker in a Patient with Persistent Left Superior and Absent Right Superior Vena Cava.
10.4070/kcj.2004.34.6.623
- Author:
Jang Whan BAE
1
;
Seil OH
;
Hyun Jae KANG
;
Kwang Il KIM
;
Young Bae PARK
;
Yun Shik CHOI
Author Information
1. Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Persistence left superior vena cava;
Sick sinus syndrome;
Pacemaker artificial
- MeSH:
Aged;
Autopsy;
Coronary Sinus;
Dichlorodiphenyldichloroethane*;
Humans;
Sick Sinus Syndrome;
Veins;
Vena Cava, Superior*
- From:Korean Circulation Journal
2004;34(6):623-626
- CountryRepublic of Korea
- Language:Korean
-
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.
