ISSN: 2155-9880
+44 1300 500008
Kane AD
Senegal
Case Report
Anomaly of Lead Path during Pacemaker Implantation in Patient with Persistence of the Vein Superior Left Cave: About a Case
Author(s): Beye SM, Yekeni CF, Tabane A, Diop KR, Ndiaye M, Diouf Y, Sarr SA, Aw F, Bodian M, Ndiaye MB, M Diao and Kane ADBeye SM, Yekeni CF, Tabane A, Diop KR, Ndiaye M, Diouf Y, Sarr SA, Aw F, Bodian M, Ndiaye MB, M Diao and Kane AD
The persistence of the left superior vena cava is a congenital anomaly most often associated with an abnormality of venous return, usually asymptomatic and fortuitous discovery. It can pose technical difficulties during cardiac pacing. We report the case of a pacemaker lead path abnormality related to persistence of the left superior vena cava in a 68-year-old patient. She was admitted to our unit for a symptomatic complete atrioventricular block with of vertigo. During the procedure, the progression of the lead through the left subclavian vein was slowed down by an obstacle. The lead presented an aberrant path with an early descent ahead of the aortic button and a defect of progression after product injection. Post-stimulation echocardiography revealed coronary sinus dilatation. Chest CTA had confirmed the left superior vena cava with a vertical pre-aortic seat and thrown into the ri.. View More»