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Related Experiment Video

Updated: Jun 22, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

[DDD-Pacemaker-implantation via bilateral persistent superior vena cava].

W Seeger¹, K Scherer

¹Medizinische Klinik Krankenhaus Reinbek St. Adolf Stift Akademisches Lehrkrankenhaus der Universität Hamburg, 21465, Reinbek.

Herzschrittmachertherapie & Elektrophysiologie

|June 2, 2009

Summary

Bilateral persistent superior vena cava is a rare anomaly (0.3% incidence). For pacemaker lead implantation, right-sided placement is recommended to avoid unusual lead courses.

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Published on: February 28, 2012

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Last Updated: Jun 22, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

Area of Science:

Cardiology
Medical Imaging
Anatomy

Context:

Pacemaker lead implantation requires careful consideration of venous anatomy.
Anomalies in the superior vena cava can complicate lead placement.
Bilateral persistent superior vena cava (BPSVC) is an uncommon congenital condition.

Purpose:

To report an unusual case of pacemaker lead placement in a patient with BPSVC.
To highlight the importance of pre-operative diagnosis of BPSVC.
To recommend optimal lead implantation strategies for BPSVC.

Summary:

A ventricular lead placed via the left subclavian vein followed an abnormal path due to BPSVC.
Venography confirmed the presence of bilateral persistent superior vena cava.
An atrial lead was successfully implanted via the right subclavian vein with a typical course.
The study recommends right-sided pacemaker lead implantation if BPSVC is identified preoperatively.

Impact:

Preoperative identification of BPSVC can guide surgical planning for pacemaker implantation.
This can prevent complications associated with unusual lead trajectories.
Ensures optimal device function and patient safety in cases of venous anomalies.