Summary
We report an implantation of a cardiac resynchronisation system in a patient with persistent left superior vena cava. This anomaly occurs in 0.3 to 0.5% of healthy individuals and remains usually asymptomatic. Variations of the superior vena cava should be considered in venous catheterization and other procedures such as implantation of pacemaker and ICD systems as well as port catheter insertion. In resynchronisation systems, persistent left superior vena cava can be an obstacle for cannulation of the coronary sinus and placement of a transvenous left ventricular lead.
Zusammenfassung
Wir berichten über die Implantation eines Resynchronisationssystems bei einem Patient mit persistierender oberer Hohlvene. Diese Variante tritt mit einer Häufigkeit von 0,3 to 0,5% auf und ist in der Regel asymptomatisch. Varianten der oberen Hohlvene können die Anlage zentralvenöser Zugänge sowie die Implantation von Herzschrittmachern, ICD- und Portsystemen behindern und haben Konsequenzen für die Elektrodenplatzierung der linksventrikulären Elektrode von Resynchronisationssystemen.
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Reinhardt, D., Surber, R., Kuehnert, H. et al. Implantation eines Resynchronisationssystems bei persistierender oberer Hohlvene. Herzschr. Elektrophys. 17, 35–39 (2006). https://doi.org/10.1007/s00399-006-0505-1
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DOI: https://doi.org/10.1007/s00399-006-0505-1