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Congenital Absence of Superior Vena Cava: Unusual Anomaly of Superior Systemic Veins Complicating Pacemaker Placement
Author(s) -
HUSSAIN S. AMJAD,
CHAKRAVARTY SUPRIYA,
CHAIKHOUNI AMER,
SMITH J.R.
Publication year - 1981
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1981.tb03704.x
Subject(s) - medicine , venae cavae , superior vena cava , venography , azygos vein , persistent left superior vena cava , cardiology , vein , transvenous pacing , anatomy , surgery , coronary sinus , thrombosis
Congenital anomalies of the superior systemic veins can complicate placement of transvenous pacemaker electrode leads. Persistent left superior vena cava is the most common congenital anomaly; in this paper, we describe the case of a patient who had con‐genital absence of both superior venae cavae, which has not been reported pre‐viously. The superior syslemic veins drained into persistent double ozygos veins subdiaphragmatically. The anomaly was verified by venography. Temporory car‐dioc pacing was established by passing the electrode lead through the femoral vein, and a permanent epicordial pacemaker lead was placed thereafter. This appears to be the first recorded case of such an anomaly.