Case Report
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World J Cardiol. Apr 26, 2013; 5(4): 109-111
Published online Apr 26, 2013. doi: 10.4330/wjc.v5.i4.109
Transvenous defibrillator implantation in a patient with persistent left superior vena cava
Rajesh Vijayvergiya, Smit Shrivastava, Alok Kumar, Parminder S Otaal
Rajesh Vijayvergiya, Smit Shrivastava, Alok Kumar, Parminder S Otaal, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: All the authors were actively involved in management of the index case.
Correspondence to: Rajesh Vijayvergiya, MD, DM, FSCAI, FISES, FACC, Associate Professor of Cardiology, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. rajeshvijay999@hotmail.com
Telephone: +91-172-2756512 Fax: +91-172-2744401
Received: November 13, 2012
Revised: March 3, 2013
Accepted: March 8, 2013
Published online: April 26, 2013
Processing time: 165 Days and 3.9 Hours
Abstract

Persistent left superior vena cava (LSVC) can be incidentally detected during pacemaker implantation through left pectoral side. There is technical difficulty of optimal site pacing and lead stability for right ventricle lead in such situation. We hereby report a case of successful single-chamber implantable cardioverter defibrillator (ICD) implantation in a 50 years-old male with LSVC. The practical issues related with right ventricle lead implantation and pacing/defibrillation parameters for ICD device are discussed.

Keywords: Cardioverter defibrillator, Left superior vena cava, Myocardial infarction, Ventricular tachycardia

Core tip: Persistent left superior vena cava (LSVC) can be incidentally detected during pacemaker implantation through left pectoral side. we hereby report a case of persistent LSVC, who had successful single chamber implantable cardioverter defibrillator (ICD) implantation with dual coil active fixation lead. We achieved good functional parameters of the ICD and had uneventful 6 mo of follow-up.