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Persistence of Left Superior Vena Cava in Nonagenarian Undergoing Pacemaker Implant: Case Report

Persistencia de veia cava superior esquerda e marca-passo

Authors

Lucas Hollanda Oliveira Hospital São Rafael https://orcid.org/0000-0002-6770-4462
Christian Moreno Luize Fundação Bahiana de Cardiologia – Salvador (BA), Brazil/ Hospital São Rafael – Salvador (BA), Brazil. https://orcid.org/0000-0002-4024-1963
Ricardo Sobral de Carvalho Fundação Bahiana de Cardiologia – Salvador (BA), Brazil/ Hospital São Rafael – Salvador (BA), Brazil.
Marcel Fernando Silva Carvalho Fundação Bahiana de Cardiologia – Salvador (BA), Brazil/ Hospital São Rafael – Salvador (BA), Brazil.
Danusa Moreira Lago Fundação Bahiana de Cardiologia – Salvador (BA), Brazil. https://orcid.org/0000-0003-2144-0454
Cristiano de Oliveira Dietrich Escola Paulista de Medicina – São Paulo (SP), Brazil/ Hospital Moriah – São Paulo (SP), Brazil.
Claudio Cirenza Escola Paulista de Medicina – São Paulo (SP), Brazil.

Keywords:

Marca-passo artificial, veia cava superior, embriologia, anormalidades congênitas, seio coronário

Abstract

Introduction: The persistence of the left superior vena cava (PLSVC) is a congenital malformation of the veins that drain blood from the upper body, causing the flow to the right atrium to be processed through the coronary sinus. Case report: We describe the case of a nonagenarian woman, previously asymptomatic until she developed total atrioventricular block when she was referred for implantation of a double chamber pacemaker. Persistence of the left superior vena cava was detected during the procedure and confirmed by venography. The implantation of the electrodes was performed safely and without complications. Conclusion: Despite not usually causing symptoms, the presence of PLSVC can make invasive procedures a challenging task. Knowledge of anatomy and the use of simple techniques can facilitate interventions in this scenario.

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References

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%2Fs13244-020-00906-2

Rigatelli G. Congenitally persistent left superior vena cava: A possible unpleasant problem during invasive procedures. J Cardiovasc Med. 2007;8(7):483-7. https://doi.org/10.2459/01.jcm.0000278448.89365.55

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(3):281-7. https://doi.org/10.1053/eupc.2002.0248

Goyal SK, Punnam SR, Verma G, Ruberg FL. Persistent left superior vena cava: A case report and review of literature. Cardiovasc Ultrasound. 2008;6:50. https://doi.org/10.1186%2F1476-7120-6-50

Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, et al. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/

American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm. J AM Coll Cardiol. 2019;74(7):932-87. https://doi.org/10.1016/j.jacc.2018.10.043

Batouty NM, Sobh DM, Gadelhak B, Sobh HM, Mahmoud W, Tawfik AM. Left superior vena cava: cross-sectional imaging overview. Radiol Medica. 2020;125(3):237-46. https://doi.org/10.1007/s11547-019-01114-9

Hollanda L, Sobral R, Luize C, Carvalho W, Carvalho M, Passos L. Cardiac Resynchronization Therapy in a Chagasic Patient With Persistent Left Superior Vena Cava. JACC Case Rep. 2019;1(3):387-90. https://doi.org/10.1016/j.jaccas.2019.07.035

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Published

2021-05-22

Versions

2021-05-22 (2)
2021-05-22 (1)

How to Cite

Oliveira, L. H., Luize, C. M., Carvalho, R. S. de, Carvalho, M. F. S., Lago, D. M., Dietrich, C. de O., & Cirenza, C. (2021). Persistence of Left Superior Vena Cava in Nonagenarian Undergoing Pacemaker Implant: Case Report: Persistencia de veia cava superior esquerda e marca-passo. JOURNAL OF CARDIAC ARRHYTHMIAS, 34(2), 63–68. Retrieved from https://jca.emnuvens.com.br/jca/article/view/3453