Key result
Implantation of a dual chamber pacemaker using a 'J-shaped' atrial lead for ventricular pacing yielded excellent long-term results in a patient with persistent left superior vena cava.
Case Report (n=1)
A J-shaped atrial lead can be successfully used for ventricular pacing in patients with persistent left superior vena cava.
May offer a feasible workaround in PLSVC; leaves open validation in larger prospective series.
A patient underwent dual chamber pacemaker implantation by puncture of the left subclavian vein. During the procedure we observed persistence of the left superior vena cava. A "J-shaped" atrial lead was used for ventricular pacing with excellent long-term results. This technique can be a valuable alternative when confronted with the problem of persistent left superior vena cava during pacemaker implantation.
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DIRIX et al. (1988) conducted a case report in Persistent left superior vena cava requiring pacemaker (n=1). Dual chamber pacemaker implantation using a 'J-shaped' atrial lead for ventricular pacing was evaluated on Long-term results of ventricular pacing. Implantation of a dual chamber pacemaker using a 'J-shaped' atrial lead for ventricular pacing yielded excellent long-term results in a patient with persistent left superior vena cava.
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