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This patient with congestive heart failure, atrial fibrillation, mild renal impairment, chronic lung disease, and diabetes mellitus underwent CABG 2 weeks prior to the implantation of a combined implantable cardioverter defibrillator/cardiac resynchronization therapy (ICD/CRT) device with access via the left subclavian vein. During the procedure, we found that the patient had a persistent left superior vena cava. The prevalence of this …

european heart journal

Persistent left superior vena cava. Use of an innominate vein between left and right superior caval veins for the placement of a right ventricular lead during ICD/CRT implantation