Successful Pacemaker Revision Through Sustained Right Superior Vena Cava in a Patient With Situs Inversus Totalis.
10.4070/kcj.2008.38.2.128
- Author:
Hack Lyoung KIM
1
;
Min Kyung KIM
;
Hee Suk MIN
;
Byoung Yong CHOI
;
Eue Keun CHOI
;
Jae Jin KWAK
;
Yun Shik CHOI
;
Seil OH
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. seil@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Vena cava, superior;
Situs inversus;
Pacemaker, artificial
- MeSH:
Heart Atria;
Humans;
Pacemaker, Artificial;
Situs Inversus;
Vena Cava, Superior
- From:Korean Circulation Journal
2008;38(2):128-130
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
