| Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava |
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Areum Kim, Dae-Hyeok Kim, Jun Kwan, Keum-Soo Park, Woo-Hyung Lee |
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Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea |
| 잔존 좌측 상대정맥을 통한 심실제동기의 성공적인 삽입 |
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김아름, 김대혁, 권준, 박금수, 이우형 |
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인하대학교 의과대학 내과학교실 순환기내과 |
Correspondence:
Dae-Hyeok Kim, Tel: +82-32-890-2440, Fax: +82-32-890-2447, Email: kdhmd@inha.ac.kr
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Received: 23 April 2008 • Revised: 10 September 2008 • Accepted: 7 October 2008 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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The prevalence of persistent left superior vena cava (PLSVC) in the general population has been estimated to be approximately 0.3%, as determined by autopsy. PLSVC is hemodynamically insignificant if it is not associated with other congenital cardiac anomalies, and usually goes unrecognized until a left superior approach to the heart is required. Here, we report a 60-year-old male diagnosed with dilated cardiomyopathy, who had survived an episode of sudden cardiac arrest with documented ventricular fibrillation. PLSVC was recognized incidentally while implanting an implantable cardioverter-defibrillator (ICD). The ICD was successfully implanted through the left superior vena cava via the coronary sinus using a straight stylet and an active fixation device. |
| Key Words:
Persistent left superior vena cava; Implantable cardioverter-defibrillator |
| 주제어:
잔존 좌측 상대정맥; 심실제세동기 |
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