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[Placement of a biventricular resynchronization device in a patient with a persistent left superior vena cava: report

S Ismael Vergara1, S Patricia Frangini, V Raúl Barrero

  • 1Laboratorio de Electrofisiología Cardiaca, Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. ivergara@med

Revista Medica De Chile
|May 4, 2012
PubMed

Insights

Persistent left superior vena cava, a common congenital venous anomaly, can complicate transvenous lead placement. This case demonstrates successful biventricular resynchronization therapy implantation despite this anomaly.

Area of Science:

  • Cardiology
  • Medical Malformations

Background:

  • Persistent left superior vena cava (PLSVC) is the most common congenital venous anomaly.
  • PLSVC can present challenges during cardiovascular device implantation procedures.

Observation:

  • A 71-year-old woman with idiopathic dilated cardiomyopathy, atrial fibrillation, and heart failure required biventricular resynchronization therapy.
  • A persistent left superior vena cava was identified during the transvenous lead implantation procedure.

Findings:

  • The biventricular device was successfully implanted without complications.
  • The patient experienced a satisfactory postoperative recovery.

Implications:

  • This case highlights that PLSVC does not necessarily preclude successful transvenous lead implantation.
  • Awareness of PLSVC is crucial for interventional cardiologists to ensure patient safety and procedural success.

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