Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava.
10.3904/kjm.2014.87.3.328
- Author:
Areum KIM
1
;
Dae Hyeok KIM
;
Jun KWAN
;
Keum Soo PARK
;
Woo Hyung LEE
Author Information
1. Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. kdhmd@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Persistent left superior vena cava;
Implantable cardioverter-defibrillator
- MeSH:
Autopsy;
Cardiomyopathy, Dilated;
Coronary Sinus;
Death, Sudden, Cardiac;
Defibrillators, Implantable*;
Heart;
Humans;
Male;
Middle Aged;
Prevalence;
Vena Cava, Superior*;
Ventricular Fibrillation
- From:Korean Journal of Medicine
2014;87(3):328-333
- CountryRepublic of Korea
- Language:English
-
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.
