Key result
ICD implantation succeeds via persistent left superior vena cava using straight stylet and active fixation.
Why the study?
Persistent left superior vena cava (PLSVC) is usually unrecognized until a left superior approach to the heart is required for procedures such as ICD implantation.
Population
60-year-old male with dilated cardiomyopathy and prior sudden cardiac arrest
Comparison
ICD implantation through persistent left superior vena cava via coronary sinus
Design
Case report
Authors
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Single-case success suggests feasibility via coronary sinus in persistent left SVC; leaves open broader safety and efficacy questions.
Case Report (n=1)
No
This case demonstrates that an ICD can be successfully implanted through a persistent left superior vena cava via the coronary sinus using a straight stylet and an active fixation device.
Kim et al. (2014) conducted a case report in Dilated cardiomyopathy with persistent left superior vena cava and ventricular fibrillation (n=1). ICD implantation through persistent left superior vena cava was evaluated on Successful ICD implantation. An implantable cardioverter-defibrillator was successfully implanted through a persistent left superior vena cava via the coronary sinus using a straight stylet and an active fixation device.
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