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A challenging dual chamber permanent pacemaker implantation in persistent left superior vena cava with absent right
Sudeep Kumar1, Nagaraja Moorthy1, Aditya Kapoor1
1Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Abstract:
An isolated persistent left superior vena cava (PLSVC) with absent right superior vena cava is a rare and generally asymptomatic congenital malformation. It is usually discovered incidentally during a pacemaker implantation or electrophysiological procedures. We report an adult male who underwent successful dual chamber permanent pacemaker implantation through left subclavian approach with a 7-year follow-up showing a still appropriate function of the device. We discuss the technical issues and solutions to overcome such technical difficulties.
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