The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava

잔존 좌측 상대정맥을 통한 심실제동기의 성공적인 삽입

  • Kim, Areum (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Dae-Hyeok (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Kwan, Jun (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Park, Keum-Soo (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Woo-Hyung (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine)
  • 김아름 (인하대학교 의과대학 내과학교실 순환기내과) ;
  • 김대혁 (인하대학교 의과대학 내과학교실 순환기내과) ;
  • 권준 (인하대학교 의과대학 내과학교실 순환기내과) ;
  • 박금수 (인하대학교 의과대학 내과학교실 순환기내과) ;
  • 이우형 (인하대학교 의과대학 내과학교실 순환기내과)
  • Received : 2008.04.23
  • Accepted : 2008.10.07
  • Published : 2014.09.01
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Abstract

The prevalence of persistent left superior vena cava (PLSVC) in the general population has been estimated to be approximately 0.3%, as determined by autopsy. PLSVC is hemodynamically insignificant if it is not associated with other congenital cardiac anomalies, and usually goes unrecognized until a left superior approach to the heart is required. Here, we report a 60-year-old male diagnosed with dilated cardiomyopathy, who had survived an episode of sudden cardiac arrest with documented ventricular fibrillation. PLSVC was recognized incidentally while implanting an implantable cardioverter-defibrillator (ICD). The ICD was successfully implanted through the left superior vena cava via the coronary sinus using a straight stylet and an active fixation device.

Keywords

References

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