Successful implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava

Mihailo Čedomir Vukmirović; Lazar Angelkov; Filip Vukmirović; Irena Tomašević Vukmirović

doi:10.2298/2103

Mihailo Čedomir Vukmirović Center of Cardiology, Clinical Center of Montenegro, Podgorica, Montenegro
Lazar Angelkov Institute of Cardiovascular Disease “Dedinje”, Belgrade, Serbia
Filip Vukmirović Center of Patology, Clinical Center of Montenegro, Podgorica, Montenegro
Irena Tomašević Vukmirović Center of Radiology, Clinical Center of Montenegro, Podgorica, Montenegro

DOI: https://doi.org/10.2298/2103

Keywords: vena cava superior, vascular malformations, cardiac pacing artificiall, defibrilator implantable, treatment outcome,

Abstract

Introduction. Persistent left superior vena cava is the most common thoracic venous abnormality which is usually asymptomatic, found incidentally during pacemaker implantation. The main problem is related to reaching the appropriate pacing site and ensuring stable lead placement. Case report. We reported a successful implantation of a biventricular pacing and defibrillator device (CRT-D) via a persistent left superior vena cava in a 55-year-old man with dilated cardiomyopathy and severe heart failure. A persistent left superior vena cava was detected during CRT-D implantation. We managed to position electrodes in the right ventricular outflow tract, a posterior branch of the coronary sinus and in the right atrium. Conclusion. Congenital anomalies of thoracic veins may complicate lead placement on the appropriate and stable position. The presented case demonstrates a successful biventricular pacing and defibrillator therapy device implantation in a patient with dilated cardiomyopathy and severe heart failure.

Author Biography

Mihailo Čedomir Vukmirović, Center of Cardiology, Clinical Center of Montenegro, Podgorica, Montenegro

internista kardiolog

magistar kardiologije

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