Persistent left superior vena cava as an incidental finding in the introduction of a transient pacemaker: A case report
Abstract
The persistent left superior vena cava is the most common venous anomaly in the systemic drainage in adults and tends to be asymptomatic. The persistent left superior vena cava causes rhythm disorders such as tachyarrhythmias or bradyarrhythmias.
We report a case of persistent left superior vena cava diagnosed in a 53-year-old female patient admitted due to an acute coronary syndrome associated with unstable bradycardia. A transvenous peacemaker impressed the left atrium; therefore, a transthoracic echocardiogram was required to diagnose persistent left superior vena cava. The patient needed management with percutaneous intervention; she had an adequate evolution and subsequent discharge from the intensive care unit.
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Martínez-Villar M, Gran F, Ferrer Q, Giralt G, Sabaté-Rotés A, Albert DC. Vena cava superior izquierda persistente con agenesia de la vena cava superior derecha. Rev Esp Cardiol. 2016;69:220-1. https://doi.org/10.1016/j.recesp.2015.10.004
Irwin RB, Greaves M, Schmitt M. Left superior vena cava: revisited. Eur Heart J Cardiovasc Imaging. 2012;13:284-91. https://doi.org/10.1093/ehjci/jes017
Morgan LG, Gardner J, Calkins J. the incidental finding of a persistent left superior vena cava: implications for primary care providers-case and review. Case Rep Med. 2015;2015:198754. https://doi.org/10.1155/2015/198754
Azizova A, Onder O, Arslan S, Ardali S, Hazirolan T. Persistent left superior vena cava: clinical importance and differential diagnoses. Insights Imaging. 2020;11:110. https://doi.org/10.1186/s13244-020-00906-2
Gustapane S, Leombroni M, Khalil A, Giacci F, Marrone L, Bascietto F, et al. Systematic review and meta-analysis of persistent left superior vena cava on prenatal ultrasound: associated anomalies, diagnostic accuracy and postnatal outcome. Ultrasound Obstet Gynecol. 2016;48:701-8. https://doi.org/10.1002/uog.15914
Sheikh AS, Mazhar S. Persistent left superior vena cava with absent right superior vena cava: review of the literature and clinical implications. Echocardiography. 2014;31:674-9. https://doi.org/10.1111/echo.12514
Tak T, Crouch E, Drake GB. Persistent left superior vena cava: incidence, significance and clinical correlates. Int J Cardiol. 2002;82:91-3. https://doi.org/10.1016/s0167-5273(01)00586-1
Nandakumar KP, Maitra S. Persistent left superior vena cava: What an anesthesiologist needs to know? J Anaesthesiol Clin Pharmacol. 2018;34:407-8. https://doi.org/10.4103/joacp.JOACP_301_17
Morgan DR, Hanratty CG, Dixon LJ, Trimble M, O’Keeffe DB. Anomalies of cardiac venous drainage associated with abnormalities of cardiac conduction system. Europace. 2002;4:281-7. https://doi.org/10.1053/eupc.2002.0248
Jović Z, Mijailović Z, Obradović S, Tavciovski D, Matunović R, Rusović S, et al. Successful implantation of a permanent pacemaker through a persistent left superior vena cava by using a right subclavian approach. Vojnosanit Pregl. 2011;68:792-4. https://doi.org/10.2298/vsp1109792j
Meijboom WB, Vanderheyden M. Biventricular pacing and persistent left superior vena cava. Case report and review of the literature. Acta Cardiol. 2002;57:287-90. https://doi.org/10.2143/AC.57.4.2005428
Povoski SP, Khabiri H. Persistent left superior vena cava: review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients. World J Surg Oncol. 2011;9:173. https://doi.org/10.1186/1477-7819-9-173
Kula S, Cevik A, Sanli C, Pektas A, Tunaoglu FS, Oguz AD, et al. Persistent left superior vena cava: experience of a tertiary health-care center. Pediatr Int. 2011;s53:1066-9. https://doi.org/10.1111/j.1442-200X.2011.03443.x
Restrepo G, Trespalacios E, Ahumada S, Toro N. Vena cava superior izquierda persistente. Rev Colomb Cardiol. 2014;21:115-8. https://doi.org/10.1016/S0120-5633(14)70263-3
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