Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review
Persistence of the left superior vena cava (PLSVC) is a congenital anomaly reported in 0.3–0.5% of patients. Due to the multiple and complex anatomical variations, transvenous lead placement can become challenging. We report the case of a 47-year-old patient diagnosed with non-ischemic dilated cardi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/10/12/1071 |
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| author | Mihai Cristian Haba Andreea Maria Ursaru Antoniu Octavian Petriș Ștefan Eduard Popescu Nicolae Dan Tesloianu |
| author_facet | Mihai Cristian Haba Andreea Maria Ursaru Antoniu Octavian Petriș Ștefan Eduard Popescu Nicolae Dan Tesloianu |
| author_sort | Mihai Cristian Haba |
| collection | DOAJ |
| description | Persistence of the left superior vena cava (PLSVC) is a congenital anomaly reported in 0.3–0.5% of patients. Due to the multiple and complex anatomical variations, transvenous lead placement can become challenging. We report the case of a 47-year-old patient diagnosed with non-ischemic dilated cardiomyopathy with reduced left ventricular ejection fraction (LVEF—27%), who was referred to our clinic for implantation of a dual-chamber cardioverter defibrillator for primary prevention of sudden cardiac death. During the procedure we encountered an abnormal guidewire trajectory and after venographic examination we established the diagnosis of persistent left superior vena cava. After difficult implantation of a 7F defibrillation lead through the coronary sinus, we managed to place the atrial lead through a narrow brachiocephalic vein into the right atrial appendage. In this paper, we aim to illustrate the medical and technical implications of implanting a cardioverter defibrillator in patients with PLSVC, highlighting the benefit of identifying and utilizing both the innominate vein, and the left superior vena cava and coronary sinus for placement of multiple leads, which would otherwise have been impossible. |
| first_indexed | 2024-03-10T14:09:23Z |
| format | Article |
| id | doaj.art-04ac3e09f38947fda19695ac6967b004 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T14:09:23Z |
| publishDate | 2020-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-04ac3e09f38947fda19695ac6967b0042023-11-21T00:16:31ZengMDPI AGDiagnostics2075-44182020-12-011012107110.3390/diagnostics10121071Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature ReviewMihai Cristian Haba0Andreea Maria Ursaru1Antoniu Octavian Petriș2Ștefan Eduard Popescu3Nicolae Dan Tesloianu4“Grigore.T. Popa” University of Medicine and Pharmacy, Iași 700115, RomaniaDepartment of Cardiology, Emergency Clinical Hospital “Sf. Spiridon”, Iași 700111, Romania“Grigore.T. Popa” University of Medicine and Pharmacy, Iași 700115, RomaniaDepartment of Cardiology, Emergency Clinical Hospital “Sf. Spiridon”, Iași 700111, RomaniaDepartment of Cardiology, Emergency Clinical Hospital “Sf. Spiridon”, Iași 700111, RomaniaPersistence of the left superior vena cava (PLSVC) is a congenital anomaly reported in 0.3–0.5% of patients. Due to the multiple and complex anatomical variations, transvenous lead placement can become challenging. We report the case of a 47-year-old patient diagnosed with non-ischemic dilated cardiomyopathy with reduced left ventricular ejection fraction (LVEF—27%), who was referred to our clinic for implantation of a dual-chamber cardioverter defibrillator for primary prevention of sudden cardiac death. During the procedure we encountered an abnormal guidewire trajectory and after venographic examination we established the diagnosis of persistent left superior vena cava. After difficult implantation of a 7F defibrillation lead through the coronary sinus, we managed to place the atrial lead through a narrow brachiocephalic vein into the right atrial appendage. In this paper, we aim to illustrate the medical and technical implications of implanting a cardioverter defibrillator in patients with PLSVC, highlighting the benefit of identifying and utilizing both the innominate vein, and the left superior vena cava and coronary sinus for placement of multiple leads, which would otherwise have been impossible.https://www.mdpi.com/2075-4418/10/12/1071persistent left superior vena cavainnominate veincardioverter defibrillatorprevention of sudden cardiac death |
| spellingShingle | Mihai Cristian Haba Andreea Maria Ursaru Antoniu Octavian Petriș Ștefan Eduard Popescu Nicolae Dan Tesloianu Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review Diagnostics persistent left superior vena cava innominate vein cardioverter defibrillator prevention of sudden cardiac death |
| title | Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review |
| title_full | Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review |
| title_fullStr | Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review |
| title_full_unstemmed | Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review |
| title_short | Implantation of a Dual-Chamber Automatic Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava: Case Report and Brief Literature Review |
| title_sort | implantation of a dual chamber automatic cardioverter defibrillator in a patient with persistent left superior vena cava case report and brief literature review |
| topic | persistent left superior vena cava innominate vein cardioverter defibrillator prevention of sudden cardiac death |
| url | https://www.mdpi.com/2075-4418/10/12/1071 |
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