Key result
Permanent pacemaker implantation and mitral valve replacement successfully resolved symptoms in a 50-year-old male with a rare coexistence of persistent left superior vena cava, severe mitral regurgitation, aortic valvulopathies, and complete heart block.
Case Report (n=1)
No
This case highlights the successful multidisciplinary management of a rare presentation of persistent left superior vena cava coexisting with multiple valvulopathies and complete heart block.
Supports feasibility of combined intervention in rare PLSVC with block and regurgitation; hypothesis-generating and should not change practice.
Persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly that is often detected incidentally during cardiovascular imaging or interventions. Coexisting PLSVC with mitral regurgitation (MR), aortic stenosis (AS), aortic regurgitation (AR), and complete heart block (CHB) are exceptionally rare and have not been reported in the literature to our knowledge. We present the case of a 50-year-old male with PLSVC coexisting with severe MR, mild AS/AR, and CHB who successfully underwent permanent pacemaker (PPM) implantation and mitral valve replacement. Comprehensive diagnostic evaluation and tailored management strategies are crucial for achieving significant improvement in the patient's symptoms. The presence of PLSVC adds complexity to diagnosis and management, necessitating multidisciplinary collaboration for optimal patient care.
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Paudyal et al. (2023) conducted a case report in Persistent left superior vena cava with valvulopathies and complete heart block (n=1). Permanent pacemaker implantation and mitral valve replacement was evaluated. Permanent pacemaker implantation and mitral valve replacement successfully resolved symptoms in a 50-year-old male with a rare coexistence of persistent left superior vena cava, severe mitral regurgitation, aortic valvulopathies, and complete heart block.
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