Pacemaker Implantation in a Patient with Isolated Persistent Left Superior Vena Cava Draining into the Left Atrium: A Case Report and Brief Literature Review
Key result
Surgical placement of a left ventricle epicardial lead was successfully accomplished in a patient with an isolated persistent left superior vena cava after a transvenous approach proved unfeasible.
Why the study?
Thoracic venous system anomalies create technical difficulties during cardiac device implantation, highlighting the need to understand the practical challenges of variants like persistent left superior vena cava draining into the left atrium.
Design
Case report and literature review
Authors
Discussion
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Member takes
Implication
Supports consideration of surgical epicardial pacing in isolated PLSVC after transvenous failure; leaves open confirmation in prospective studies.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
1 patient with an isolated persistent left superior vena cava draining into the left atrium and a hypoplastic right-sided superior vena cava scheduled for permanent pacemaker implantation.
I
Intervention
Surgical placement of a left ventricle epicardial lead
O
Outcome
Successful pacemaker implantation
In patients with complex venous anomalies such as persistent left superior vena cava draining into the left atrium, surgical epicardial lead placement is a viable alternative when transvenous approaches are unfeasible.
Cite This Study
Totorean et al. (2022) conducted a case report in Isolated persistent left superior vena cava draining into the left atrium (n=1). Surgical placement of a left ventricle epicardial lead was evaluated on Successful procedure accomplishment. Surgical placement of a left ventricle epicardial lead was successfully accomplished in a patient with an isolated persistent left superior vena cava after a transvenous approach proved unfeasible.