Cardiac Resynchronization Therapy in a Chagasic Patient With Persistent Left Superior Vena Cava
Lucas Hollanda1, Ricardo Sobral1, Christian Luize1
1Electrophysiology Department, Ana Nery Hospital, Salvador, Bahia, Brazil.
Insights
This case study details a patient with Chagas cardiomyopathy and a rare venous anomaly who successfully received cardiac resynchronization therapy. The procedure confirmed safe electrode placement despite the persistent left superior vena cava.
Area of Science:
- Cardiology
- Electrophysiology
- Congenital Heart Anomalies
Background:
- Chagas cardiomyopathy presents with severe left ventricular dysfunction.
- Persistent left superior vena cava is a rare congenital venous anomaly.
- Cardiac resynchronization therapy (CRT) is a treatment for heart failure.
Abstract:
This report describes the case of a woman with Chagas' cardiomyopathy with severe left ventricular dysfunction and persistent left superior vena cava who presented with episodes of syncope without prodromes and who was referred for cardiac resynchronization therapy. Despite this venous anomaly, electrodes were safely positioned in suitable locations. (Level of Difficulty: Intermediate.).
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