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An unusual 'bow tie' image in pacemaker implantation
Oguzhan Ekrem Turan1, Resit Yigit Yilancioglu1, Ahmet Anil Baskurt1
1Dokuz Eylul University, Faculty of Medicine, Heart Rhythm Management Center, Izmir, Turkey.
Indian Pacing and Electrophysiology Journal
|November 5, 2021
Summary
This study details a dual-chamber pacemaker implantation in a patient with rare venous anomalies. These anomalies, including persistent left superior vena cava, can complicate cardiac procedures and cause arrhythmias.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Anatomical Variations
Background:
- Anatomical variations in the upper venous system can complicate cardiac pacemaker implantation.
- Persistent left superior vena cava (PLSVC) and absent right superior vena cava are associated with arrhythmias and conduction disease.
Observation:
- A rare case of dual-chamber pacemaker implantation is presented.
- The patient had a unique upper venous system anomaly, paroxysmal atrial fibrillation, and sick sinus syndrome.
- The anomaly resulted in an unusual fluoroscopic appearance during the procedure.
Findings:
- Successful dual-chamber pacemaker implantation was achieved despite complex venous anatomy.
- The case highlights the challenges posed by rare venous anomalies during electrophysiological procedures.
- The patient's underlying conditions (paroxysmal atrial fibrillation, sick sinus syndrome) were managed concurrently.
Implications:
- Understanding rare venous anomalies is crucial for successful pacemaker implantation.
- This case provides insights into managing patients with complex cardiac conditions and anatomical variations.
- Improved imaging and procedural planning are essential for navigating challenging venous anatomies.
