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Challenging pacemaker implantation: persistent left superior vena cava with absent right superior vena cava
K Kraaier1, J Poker, C von Birgelen
1Medisch Spectrum Twente, Department of Cardiology, Haaksbergerstraat 55, Enschede, The Netherlands.
Abstract:
A persistent left superior vena cava (PLSVC) in combination with an absent right superior vena cava (RSVC) is a rare congenital cardiovascular abnormality which is usually found by chance during pacemaker (PM) implantation. In this case we describe a PM implantation using right cephalic approach through PLSVC and coronary sinus (CS), with lead fixation in right atrium and a posterolateral branch of the CS.
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