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Case Report
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Korean J Med. 2014;87(3):328-333. Published online September 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.3.328
- 잔존 좌측 상대정맥을 통한 심실제동기의 성공적인 삽입
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김아름, 김대혁, 권준, 박금수, 이우형
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인하대학교 의과대학 내과학교실 순환기내과
- Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava
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Areum Kim, Dae-Hyeok Kim, Jun Kwan, Keum-Soo Park, Woo-Hyung Lee
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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.
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߽ɾ :잔존 좌측 상대정맥; 심실제세동기
- 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
