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Right Ventricular Implantable Cardioverter Defibrillator Lead Implantation Through a Persistent Left Superior Vena Cava
Author(s) -
MARKEWITZ ANDREAS,
MATTKE SÖREN
Publication year - 1996
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.1540-8159.1996.tb04224.x
Subject(s) - medicine , cardiology , implantable cardioverter defibrillator , persistent left superior vena cava , ventricular tachycardia , lead (geology) , refractory (planetary science) , superior vena cava , tachycardia , coronary sinus , physics , geomorphology , astrobiology , geology
A 60‐year‐old woman required implantation of an ICD because of a hypotensive ventricular tachycardia refractory to four different antiarrhythmic drugs. Preoperative diagnostics revealed a persistent left SVC as the only major venous return from the upper part of the body to the heart. Under local anesthesia, a tripolar lead was advanced through the left SVC into the right ventricular apex. Following successful testing, an active can ICD device was implanted, which is functioning well during a follow‐up period of 9 months.