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Europace 2004 6(3):205-208; doi:10.1016/j.eupc.2003.12.004
© 2004 by European Society of Cardiology
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CASE REPORT

Superior vena cava syndrome and syncope in an implantable cardioverter defibrillator recipient

Anna Kostopoulou*, Eftihia Sbarouni, Efthimios G. Livanis, George N. Theodorakis and Dimitrios Kremastinos

Second Department of Cardiology, Onassis Cardiac Surgery Center 356 Syngrou Avenue, 17674 Athens, Greece

We describe the case of a recipient of an implantable cardioverter defibrillator with multiple syncopal episodes due both to superior vena cava obstruction and electrical instability. These complications occurred in the presence of two transvenous implantable cardioverter defibrillator leads. The patient has been managed conservatively with anticoagulants and new antiarrhythmic drugs with improvement in both his clinical problems.

Key Words: syncope, defibrillator, superior vena cava syndrome, electrical storm

*Corresponding author. Tel.: +30-210-9493-372; fax: +30-210-9493-373. E-mail addresses: elbee{at}ath.forthnet.gr,annapana{at}internet.gr (A. Kostopoulou).


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