IMPLANTATION OF A PASSIVE FIXATION SINGLE CHAMBER PACEMAKER IN A PATIENT WITH PERSISTENT LEFT SUPERIOR VENA CAVA

Narzary K C, Boro S K S

Abstract


Persistent left superior vena cava is a rare disorder which is asymptomatic and hence is usually discovered while performing interventions through
left sub clavian vein.
Electrode instability & displacement have been reported in patients who underwent pacemaker Implantation via persistent left superior vena cava.
An active – fixation system & sometimes epicardial pacing is necessary to maintain pacing stability.
We report the case of a 60 years old man with a persistent left superior Vena cava who required Permanent Pacemaker Implantation. Passive fixation
ventricular lead was successfully inserted and produced good long term pacing & sensing. To best of our knowledge, this is the first reported case of
Implantation of a passive fixation single chamber pacemaker via persistent left superior vena cava in North East India.


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