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Ann Thorac Surg 1985;39:174-176
© 1985 The Society of Thoracic Surgeons


Articles

Permanent Pacing through a Persistent Left Superior Vena Cava: An Approach and Report of Dual-Chambered Lead Placement

G.R. Westerman, M.D.*, J. Baker, M.D., W.T. Dungan, M.D., S.H. Van Devanter, M.D.

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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