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Pacemaker‐Induced Superior Vena Cava Obstruction : Bypass Using the Intact Azygous Vein
Author(s) -
CHIA HENDRICK M.Y.,
ANDERSON DAVID,
JACKSON GRAHAM
Publication year - 1999
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.1540-8159.1999.tb00486.x
Subject(s) - medicine , superior vena cava , vein , vena cava , cardiology , surgery
Superior vena cava thrombosis due to pacemaker leads is an uncommon but well‐recognized complication. Its pathogenesis remains unclear and it is usually a benign condition. Superior vena cava occlusion can be successfully treated by thrombolysis and anticoagulation if the occlusion is recent, balloon venoplasty and stenting, and surgery. We describe a case of superior vena cava obstruction successfully bypassed using the intact native azygous vein, a technique that has not been described before, with excellent long‐term results.