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Europace Advance Access originally published online on March 3, 2008
Europace 2008 10(5):588-590; doi:10.1093/europace/eun043
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

ALTERNATIVE VENTRICULAR PACING SITES

Persistent left superior vena cava: a blessing in disguise

Naser Imran, Blair Grubb and Yousuf Kanjwal*

Department of Cardiovascular Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA

Persistent left superior vena cava (SVC) is an uncommon condition, usually encountered during cannulation of the left subclavian vein. We describe a patient who required a cardiac device upgrade to cardiac resynchronization implantable cardioverter defibrillator for biventricular failure. The presence of a persistent left SVC proved to be a blessing in disguise in this patient as he had since developed total occlusion of the left subclavian-innominate system.

Key Words: Persistent left superior vena cava, Congenital cardiac anomalies, Cardiac resynchronization therapy

* Corresponding author. Tel: +1 419 383 5066; fax: +1 419 383 3041. E-mail address: yousuf.kanjwal{at}utoledo.edu

Manuscript submitted 17 December 2007. Accepted after revision 5 February 2008.


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