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Ann Thorac Surg 1985;39:174-176
© 1985 The Society of Thoracic Surgeons
From the Departments of Surgery, Medicine and Pediatrics, Arkansas Children's Hospital, and University of Arkansas for Medical Sciences, Little Rock, AR
Accepted for publication April 10, 1984.
* Address reprint requests to Dr. Westerman, Arkansas Children's Hospital, Division of Cardiovascular Surgery, 804 Wolfe St, Little Rock, AR 72202
The patient with a persistent left superior vena cava who requires permanent pacing presents difficulties if no right superior vena cava is present or if it is encountered unexpectedly at pacemaker implantation. A case is presented that illustrates potential problems and suggests a general approach to this situation. Successful transvenous universal pacemaker insertion through a persistent left superior vena cava is reported.
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