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Document Details :

Title: Pacemaker insertion in a patient with persistent left superior vena cava
Author(s): B. Bosch , A. Stockman , R. Beelen
Journal: Acta Cardiologica
Volume: 68    Issue: 6   Date: 2013   
Pages: 642-644
DOI: 10.2143/AC.68.6.8000014

Abstract :
A persistent left superior vena cava (PLSVC) is a rare and usually unnoticed congenital anomaly. However, clinicians must be conscious of its existence as a PLSVC can be associated with other anomalies of cardiovenous morphology with significant clinical implications for transvenous procedures. We report a case of a double superior vena cava with absent innominate vein found during catheterization for cardiac resynchronization pacemaker therapy implantation (CRT-P). We also describe a technique used for successful positioning of the leads into the right atrium and right ventricle.