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Persistent left superior caval vein with absent right superior caval vein: importance of awareness
Sungwon Lee1, Joo H Cha, Dae H Han
1Department of Radiology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seocho-gu, Seoul, Korea.
Insights
An isolated persistent left superior caval vein is a rare venous anomaly. Multidetector computed tomography confirms it is not a contraindication for subclavian pacemaker insertion.
Area of Science:
- Cardiology
- Vascular Anatomy
- Medical Imaging
Background:
- Isolated persistent left superior caval vein (PLSVC) is a rare congenital anomaly affecting systemic venous return.
- This anomaly can complicate central venous access procedures, including pacemaker implantation.
- Accurate diagnosis is crucial for appropriate patient management and procedural planning.
Abstract:
Isolated persistent left superior caval vein is a rare anomaly of the systemic venous return. We describe an unsuccessful pacemaker implantation through the right subclavian vein, which later turned out to be due to a venous anomaly. This case and some other cases show that with the help of a multidetector computed tomography, an isolated persistent left superior caval vein is not a contraindication for subclavian approached pacemaker insertion.
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