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Europace Advance Access originally published online on December 26, 2008
Europace 2009 11(4):533-534; doi:10.1093/europace/eun371
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORTS

Hybrid right–left cardiac resynchronization therapy defibrillator implantation in persistent left superior vena cava

Matteo Anselmino*, Maria Cristina Marocco, Claudia Amellone and Riccardo Massa

Department of Medicine, Cardiology Unit, University of Turin, Corso Bramante 88, Italy

Persistence of the left superior vena cava (PLSVC), observed in 0.3% of the general population as established by autopsy, is an anatomic variation particularly relevant when occurring in patients in need of a transvenous pacing. In this report, we describe a hybrid right–left cardiac resynchronization therapy defibrillator implantation approach in a patient with PLSVC. In our experience, the described approach proved feasible and safe, and may be considered an option in case of complex vein anatomy before referring for cardiac surgical implantation of a left ventricular lead.

* Corresponding author. Tel: +393495712516; Fax: +390116334446, Email: matt.ans{at}alice.it


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