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Detection of a Left Superior Vena Cava during a Pacemaker Implantation in Cotonou

Title: Detection of a Left Superior Vena Cava during a Pacemaker Implantation in Cotonou
Authors: Sonou, A.; Hounkponou, M.; Codjo, L.; Adjagba, P. M.; Houehanou, C.; Dohou, H.; Assani, S.; Tchabi, Y.; Houenassi, M.
Source: Case Reports in Cardiology ; volume 2017, page 1-3 ; ISSN 2090-6404 2090-6412
Publisher Information: Wiley
Publication Year: 2017
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Persistent left superior vena cava (LSVC) is a rare congenital anomaly. Its prevalence in the general population is 0.1 to 0.5%. LSVC is 5 times rarer when accompanied by an absence of the right superior vena cava (RSVC). We present the case of a 54-year-old man who carries a persistent LSVC without RSVC. Clinically, this patient presented a regular bradycardia at 40 per minute associated with a heart failure syndrome. The electrocardiogram diagnosed a complete atrioventricular block and transthoracic echocardiography showed dilated left heart cavities and a left ventricular ejection fraction of 50%. During the procedure of pacemaker implantation, the probe followed an unusual LSVC-coronary sinus-right atrium path and it was not easy to pass through the tricuspid orifice. We propose a review of the literature on this subject, focusing on the clinical implications of this malformation in cardiac stimulation and in other areas of cardiology.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1155/2017/7634082
Availability: https://doi.org/10.1155/2017/7634082; http://downloads.hindawi.com/journals/cric/2017/7634082.pdf; http://downloads.hindawi.com/journals/cric/2017/7634082.xml
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.F3CF9E10
Database: BASE