Persistent Left Superior Vena Cava in Patients Undergoing Cardiac Device Implantation: Clinical and Long-Term Data

Overview

Journal Cardiol Res

Specialty Cardiology & Vascular Diseases

Date 2017 Mar 30

PMID 28352422

Citations 6

Authors

Dubravko Petrac

Vjekoslav Radeljic

Nikola Pavlovic

Sime Manola

Diana Delic-Brkljacic

Affiliations

Soon will be listed here.

Abstract

Background: Persistent left superior vena cava (LSVC) is a rare congenital venous anomaly that may be found at the time of cardiac device lead insertion.

Methods: In this case series, we present clinical and long-term data of five patients with LSVC who underwent pacemaker (PM) or cardioverter defibrillator (ICD) implantation during the period of 10 years.

Results: Left-sided venous approach was used for device implantation in 3 patients with standard PM indications, whereas a right-sided venous approach and an epicardial approach had to be used in 2 patients who needed an ICD and biventricular PM, respectively. In post implantation period of 44 ± 29 months, one patient died due to stroke, one underwent heart transplantation, and 3 had atrial fibrillation.

Conclusion: The long-term outcome of patients with persistent LSVC and implanted cardiac devices is mostly influenced by the presence of underlying heart disease.

Citing Articles

Incidental Finding of a Persistent Left Superior Vena Cava During Permanent Dual-Chamber Pacemaker Implantation: A Case Report.

Kaur S, Firdaus S, Solano J, Manjunath S, Ahmed A Cureus. 2024; 16(11):e72865.

PMID: 39493344 PMC: 11531317. DOI: 10.7759/cureus.72865.

Persistent Left Superior Vena Cava: Unanticipated Stumbling Block in Cardiac Resynchronization Therapy.

Aithal S, Gupta A, Bansal S, Isser H, Gupta P Cureus. 2024; 16(8):e68136.

PMID: 39350800 PMC: 11440016. DOI: 10.7759/cureus.68136.

The Challenges of Cardiac Resynchronization Therapy in Patients with Dilated Cardiomyopathy and Persistent Left Superior Vena Cava: A Case Report and Concise Literature Review.

Pescariu S, Sosdean R, Mircea M, Ionac A, Pescariu S Biomedicines. 2023; 11(4).

PMID: 37189821 PMC: 10136180. DOI: 10.3390/biomedicines11041205.

Marshall to the rescue in cardiac resynchronization therapy: Left ventricular lead placement in coronary sinus ostial atresia.

Nath R, Singh A, Kuber D, Kayal V Indian Pacing Electrophysiol J. 2021; 22(1):58-60.

PMID: 34775046 PMC: 8811310. DOI: 10.1016/j.ipej.2021.11.003.

Pacemaker Implantation in Patient With Persistent Left Superior Vena Cava and Absent Right Superior Vena Cava.

Sabzwari S, Kimber J, Godil S, Khan W, Mir J Cureus. 2020; 12(5):e7980.

PMID: 32523837 PMC: 7273469. DOI: 10.7759/cureus.7980.

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