Open AccessSuccessful dual chamber ICD implantation via a persistent left superior vena cava after ratchet syndrome
Author(s) -
Anjo Naofumi,
Nakahara Shiro,
Kamijima Tohru,
Hori Yuichi,
Nakagawa Ayako,
Nishiyama Naoki,
Yamada Kouta,
Komatsu Takaaki,
Kobayashi Sayuki,
Sakai Yoshihiko,
Taguchi Isao
Publication year - 2016
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2016.01.003
Subject(s) - medicine , persistent left superior vena cava , ratchet , superior vena cava syndrome , cardiology , superior vena cava , mechanical engineering , work (physics) , engineering , coronary sinus
Device implantations may be challenging in patients with venous abnormalities. The most common congenital variation, frequently associated with other congenital abnormalities, is a persistent left superior vena cava (PLSVC), and successful atrial and ventricular lead implantation via a PLSVC have both been reported [1].“Ratchet syndrome” has also been reported as a rare complication after a newly implanted pacemaker or implantable cardioverter-defibrillator (ICD) and involves lead dislodgement and retraction due to a ratchet-like movement through the suture sleeve that causes a continuous short pull [2], [3]. Here, we present a rare case in which successful dual-chamber ICD implantation via a PLSVC was achieved after the occurrence of ratchet syndrome.