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KMID : 1011920110120040043
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International Journal of Arrhythmia
2011 Volume.12 No. 4 p.43 ~ p.46
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Successful implantation of a single chamber cardioverter defibrillator system in a patient with persistent left superior vena cava
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Shim Jae-Min
Pak Hui-Nam
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Abstract
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We report the case of a single-chamber cardioverter defibrillator (ICD) implantation in a 69 year-old female patient with a persistent left superior vena cava (PLSVC). The patient presented a sustained ventricular tachycardia with hemodynamic compromise, and she had a history of patch repair of an atrial septal defect, mitral valve replacement, and coronary artery bypass graft. The appropriate use of a currently available, low profile active fixation lead with proper shaping of the stylet allowed for safe implantation through the PLSVC and coronary sinus.
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KEYWORD
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implantable cardioverter defibrillator, persistent left superior vena cava
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