ISSN 1016-5169 | E-ISSN 1308-4488
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Implantation of a cardiac resynchronization therapy-defibrillator device in a patient with persistent left superior vena cava [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2015; 43(4): 368-371 | DOI: 10.5543/tkda.2015.31614

Implantation of a cardiac resynchronization therapy-defibrillator device in a patient with persistent left superior vena cava

İlyas Atar, Emir Karaçağlar, Emre Özçalık, Bülent Özin, Haldun Müderrisoğlu
Department of Cardiology, Baskent University Faculty of Medicine, Ankara, Turkey

SUMMARY
Presence of a persistent left superior vena cava (PLSVC) is generally clinically asymptomatic and discovered incidentally during central venous catheterization. However, PLSVC may cause technical difficulties during cardiac device implantation. An 82-year-old man with heart failure symptoms and an ejection fraction (EF) of 20% was scheduled for resynchronization therapy-defibrillator device (CRT-D) implantation. A PLSVC draining via a dilated coronary sinus into an enlarged right atrium was diagnosed. First, an active-fixation right ventricular lead was inserted into the right atrium through the PLSVC. The stylet was preshaped to facilitate its passage to the right ventricular apex. An atrial lead was positioned on the right atrium free wall, and an overthe- wire coronary sinus lead deployed to a stable position. CRT-D implantation procedure was successfully completed.

Keywords: Cardiac resynchronization therapy devices, heart failure/ therapy; vena cava, superior/abnormalities

How to cite this article
İlyas Atar, Emir Karaçağlar, Emre Özçalık, Bülent Özin, Haldun Müderrisoğlu. Implantation of a cardiac resynchronization therapy-defibrillator device in a patient with persistent left superior vena cava. Turk Kardiyol Dern Ars. 2015; 43(4): 368-371

Corresponding Author: Emir Karaçağlar, Türkiye
Manuscript Language: English


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