Case report
Cardiac defibrillator implantation via persistent left superior vena cava – sometimes this approach is facile. A case report
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Submission date: 2010-01-05
Final revision date: 2010-02-24
Acceptance date: 2010-02-27
Online publication date: 2011-03-08
Publication date: 2011-02-27
Arch Med Sci 2011;7(1):161–163
We report a case of persistent left superior vena cava (PLSVC) incidentally recognized during the implantation of a cardioverter-defibrillator. PLSVC is the most common venous anomaly of the thorax and drains into the right atrium. There are a lot of publications reporting success of pacemaker or defibrillator lead implantations via PLSVC. In this article we present the technique of approaching the right ventricle and right atrium via PLSVC; sometimes this method can be as straightforward as the classical way. Therefore, if PLSVC is recognized intra-operatively, we suggest continuing left-sided implantation, and considering a right venous access only in case of failure.