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Translational Rabbit Model of Chronic Cardiac Pacing
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Left innominate vein aneurysm finding during pacemaker lead insertion.

Nicola Pellizzari1, Massimo Carasi, Antonio Iavernaro

  • 1Cardiology Department, S. Bassiano Hospital, Bassano del Grappa (VI), Italy. nicolapl@libero.it

Pacing and Clinical Electrophysiology : PACE
|April 29, 2008
PubMed
Summary
This summary is machine-generated.

Thoracic vein aneurysms are rare vascular issues. A large innominate vein aneurysm was found incidentally during pacemaker implantation, aiding lead placement.

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Area of Science:

  • Vascular Surgery
  • Cardiology
  • Interventional Radiology

Background:

  • Thoracic vein aneurysms are exceptionally rare vascular malformations.
  • They are typically discovered as incidental findings during imaging or procedures.
  • Advanced atrioventricular block necessitates pacemaker implantation for management.

Observation:

  • A patient with advanced atrioventricular block required pacemaker implantation.
  • Difficulties were encountered during pacemaker lead advancement.
  • Vein angiography was performed to investigate the lead placement challenges.

Findings:

  • A large innominate vein aneurysm was identified during the procedure.
  • The aneurysm was visualized using vein angiography.
  • Successful pacemaker lead placement was achieved after identifying the aneurysm.

Implications:

  • This case highlights the importance of considering vascular anomalies in pacemaker procedures.
  • Awareness of innominate vein aneurysms can guide surgical strategy.
  • Accurate diagnosis and management are crucial for successful lead placement and patient outcomes.