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Absence of the Superior Vena Cava: Difficulties for Pacemaker Implantation
Author(s) -
OJO J. LEAL,
JIMENEZ C. DELGADO,
VILCHES P. JIMENEZ,
SERRANO A. LESMES,
GUTIERREZ F. LOZANO,
RODRIGUEZ J. BELTRAN
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.tb00580.x
Subject(s) - medicine , venography , femoral vein , vein , azygos vein , superior vena cava , surgery , permanent pacemaker , inferior vena cava , radiology , thrombosis
Endocardial pacemaker electrode implantation can be difficult in patients with anomalous superior vena cava (SVC). Venography and CAT scan showed that the patient lacked SVC venous drainage and that systemic veins drained into the inferior vena cava through the azygos vein. A temporary stimulation electrode was placed by puncture of the femoral vein, permanent stimulation by venotomy of the epigastric vein, with the electrode inserted through the external iliac vein.