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Korean J Med > Volume 87(3); 2014 > Article
The Korean Journal of Medicine 2014;87(3): 328-333.
잔존 좌측 상대정맥을 통한 심실제동기의 성공적인 삽입
김아름, 김대혁, 권준, 박금수, 이우형
인하대학교 의과대학 내과학교실 순환기내과
Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava
Areum Kim, Dae-Hyeok Kim, Jun Kwan, Keum-Soo Park, Woo-Hyung Lee
Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea
Corresponding Author: Dae-Hyeok Kim ,Tel: +82-32-890-2440, Fax: +82-32-890-2447, Email: kdhmd@inha.ac.kr
Received: April 23, 2008;   Revised: September 10, 2008;   Accepted: October 7, 2008.
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
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.
Keywords: Persistent left superior vena cava; Implantable cardioverter-defibrillator
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