Implantation of a pacemaker in a patient with persistent left superior vena cava and absence of right superior vena cava

Cheng, Zhongwei; Duan, Hua; Cheng, Ke-Di; Chen, Taibo; Gao, Peng; Fang, Quan

doi:10.1016/j.ijcard.2013.06.108

Cited by 25 publications

(7 citation statements)

References 9 publications

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“…PLSVC is the most common kind of congenital malformations in the thoracic vessels. It was first reported by Edwards et al [1] in 1950 and the latest studies show that the incidence of this deformity is about 0.1–0.5% of the total population, [2] of which about 10% of patients with congenital heart abnormalities [3, 4].…”

Section: Discussionmentioning

confidence: 99%

Catheterization in a patient with end-stage renal disease through persistent left superior vena cava: a rare case report and literature review

He¹,

Li²,

et al. 2019

BMC Nephrol

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Background Persistent left superior vena cava (PLSVC) is a common vena cava malformation, and drains blood into the right atrium via the dilated coronary sinus in most cases. It is usually asymptomatic and detected incidentally during invasive procedures or imaging. Whether the hemodialysis catheters can be placed in PLSVC is still controversial now (Stylianou et al. Hemodial Int 11:42-45, 2007). Case presentation Here we report a rare case of catheterization through PLSVC in an end-stage renal disease (ESRD) male patient whose PLSVC connected with pulmonary vein with insufficient blood flow eventually. Among the other 28 cases included in the literature review, 16 cases were non-tunneled catheter and 12 cases were cuffed, tunneled catheter and most of them could provide adequate blood flow. Conclusion PLSVC is a rare malformation and mostly asymptotic, we believe that PLSVC drains blood into the right atrium with enough inner diameter and blood flow can serve as an alternative site for conventional dialysis access. However, the feasibility of hemodialysis catheterization through it and measures to avoid serious complications are still needed to be discussed.

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Section: Discussionmentioning

confidence: 99%

Catheterization in a patient with end-stage renal disease through persistent left superior vena cava: a rare case report and literature review

He¹,

Li²,

et al. 2019

BMC Nephrol

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“…It can also be associated with congenital heart disease (i.e., atrial and ventricular septal defects, endocardial cushion defects, Tetralogy of Fallot, cor triatriatum, pulmonary stenosis) and in this case can be present in up to 10% of these patients . Isolated P‐LSVC with an absent RSVC is a rare anatomical variation, with the incidence of 0.07–0.13% . It has been also associated with an increased risk of developing atrial fibrillation .…”

Section: Discussionmentioning

confidence: 99%

Pacemaker implantation in a challenging anatomy: isolated persistent left superior vena cava and azygos continuation of interrupted inferior vena cava

Conti

Khaykin

2018

Clinical Case Reports

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Key Clinical MessageIsolated persistent left superior vena cava (SVC) in the absence of right SVC is a rare congenital variant of thoracic venous drainage with the left subclavian and jugular veins that drain into the right atrium through the coronary sinus. Inferior vena cava interruption with azygos continuation is another congenital anomaly resulting in venous drainage of the lower extremities via a typically dilated azygos vein. Although both variants are generally asymptomatic and incidentally detected, these can have clinical implications in specific circumstances and in particular during device implantation. We report a case of pacemaker implantation in which both anatomical variants were present.

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“…Less experienced operators more often implant the system at the opposite chest side after following right-side venous angiography, if anatomical conditions make it possible. The difficulties during implantation and helpful specific instruments are often described in the literature [9][10][11][12]. Experienced operators select more favorable electrophysiological and hemodynamic solutions: epicardial left heart pacing/ /sensing and very exceptionally -defibrillation.…”

Section: Discussionmentioning

confidence: 99%

Complications of permanent cardiac pacing in patients with persistent left superior vena cava

Polewczyk¹,

Kutarski

Czekajska−Chehab

et al. 2014

Cardiol J

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Implantation of a pacemaker in a patient with persistent left superior vena cava and absence of right superior vena cava

Cited by 25 publications

References 9 publications

Catheterization in a patient with end-stage renal disease through persistent left superior vena cava: a rare case report and literature review

Catheterization in a patient with end-stage renal disease through persistent left superior vena cava: a rare case report and literature review

Pacemaker implantation in a challenging anatomy: isolated persistent left superior vena cava and azygos continuation of interrupted inferior vena cava

Complications of permanent cardiac pacing in patients with persistent left superior vena cava

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