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Implantation of transvenous permanent pacemaker in a patient with persistent left superior vena cava and absent right superior vena cava. 2013

Mohammad Javad Alemzadeh-Ansari, and Akbar Shafiee, and Ahmad Yaminisharif
Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR Iran.

Vascular access has remained a major challenge for implantation of permanent pacemaker leads. A persistent Left Superior Vena Cava (LSVC), especially with an absent Right Superior Vena Cava (RSVC), is a rare finding during pacemaker implantation and is accompanied by technical difficulties. Herein, we describe a case of sinoatrial node arrest, in which finding a suitable vein for passing the lead was challenging. The patient had a persistent LSVC with an absent RSVC.

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