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Implantation of a Resynchronization Implantable Cardioverter Defibrillator in a Patient with Persistent Left Superior Vena Cava

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Author(s): Dante Antonelli | Nahum Adam Freedberg | Alexander Feldman

Journal: Indian Pacing and Electrophysiology Journal
ISSN 0972-6292

Volume: 7;
Issue: 4;
Start page: 246;
Date: 2007;
Original page

Keywords: Left Persistent Vena Cava | Implantable Cardioverter Defibrillator | Resynchronization therapy

ABSTRACT
Implantation of resynchronization implantable cardioverter defibrillator was performed in a patient with persistent left superior vena cava. A dual coil defibrillation lead was inserted in the right ventricle apex via a small innominate vein. Left ventricular and atrial leads were implanted through persistent left superior vena cava. Left ventricular lead was easily implanted into the postero lateral vein. Pacing thresholds and sensing values were excellent and remained stable at 18 months follow-up. Presence of persistent left superior vena cava generally makes transvenous lead implantation difficult. However when a favorable coronary sinus anatomy is also present, it may facilitate left ventricular lead positioning in the coronary sinus branches.

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