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KMID : 0882420140870030328
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Korean Journal of Medicine
2014 Volume.87 No. 3 p.328 ~ p.333
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Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava
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Kim A-Reum
Kim Dae-Hyeok
Kwan Jun
Park Keum-Soo
Lee Woo-Hyung
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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.
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KEYWORD
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Persistent left superior vena cava, Implantable cardioverter-defibrillator
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