Pacemaker Implantation in a Patient with Isolated Persistent Left Superior Vena Cava Draining into the Left Atrium: A Case Report and Brief Literature Review

Anomalies of the thoracic venous system are rare and usually discovered incidentally, but they become clinically relevant in the case of patients requiring cardiac device implantation. Persistent left superior vena cava is considered the most common venous drainage abnormality, with several anatomic...

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Published inDiagnostics (Basel) Vol. 12; no. 11; p. 2707
Main Authors Totorean, Iuliana-Claudia, Vacarescu, Cristina, Cozma, Dragoș, Luca, Constantin-Tudor, Feier, Horea, Lazăr, Mihai-Andrei, Deme, Maria-Anastasia, Stoica, Svetlana, Arnautu, Diana-Aurora, Gaiță, Dan
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.11.2022
MDPI
Subjects
abnormal drainage
Asymptomatic
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Care and treatment
Case Report
Case reports
Case studies
Congenital diseases
Embolisms
epicardial lead
Heart
left atrium
Literature reviews
Ostomy
pacemaker implantation
Pacemaker, Artificial (Heart)
Pacemakers
Patients
persistent left superior vena cava
Tomography
Veins & arteries
Vena cava
Romania
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Summary:Anomalies of the thoracic venous system are rare and usually discovered incidentally, but they become clinically relevant in the case of patients requiring cardiac device implantation. Persistent left superior vena cava is considered the most common venous drainage abnormality, with several anatomical variants that generate technical difficulties during pacemaker or defibrillator lead placement. We report a case of an isolated persistent left superior vena cava with abnormal drainage into the left atrium, associated with a hypoplastic right-sided superior vena cava, in a patient scheduled for permanent pacemaker implantation. Considering the patient’s anatomical characteristics, a transvenous approach proved unfeasible and the procedure was successfully accomplished via the surgical placement of a left ventricle epicardial lead. We aim to emphasize the clinical importance of such venous anomalies and to discuss the practical implications and challenges derived from these types of conditions, especially in the field of electrophysiology.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics12112707