Case Report: Cardiovertor-Defibrillator Implantation in an Isolated PLSVC with Hypertrophic Cardiomyopathy 

Authors

  • Shivang Shah Department of Cardiology, University of South Florida, Tampa, FL, USA
  • Rosy Thachil Department of Internal Medicine, Drexel University College of Medicine, Philadelphia, PA, USA
  • Shenil Shah Department of Internal Medicine, University Hospitals Case Medical Center, Cleveland, OH, USA
  • Navdeep Mann Heart Center, Huntsville, AL, USA
  • Fabio Leonelli Department of Cardiology and Electrophysiology, James A. Haley VA Hospital, Tampa, FL, USA

DOI:

https://doi.org/10.12970/2311-052X.2014.02.02.2

Keywords:

 Persistent left superior vena cava, isolated superior vena cava, absent right superior vena cava, combined superior vena cava, Hypertrophic cardiomyopathy, Cardioverter-defibrillator, Anomalies of superior vena cava.

Abstract

 Persistent Left Superior Vena Cava (PLSVC) has an estimated incidence of 0.2-0.8% in the general population and 3-10% in patients with known congenital heart disease [1]. A rare anatomic variation of LSVC occurs in up to 0.13% of otherwise normal individuals where both brachiocephalic venous systems drain into a persistent LSVC [1]. We describe a patient with hypertrophic cardiomyopathy (HCM) and malignant ventricular arrhythmias in whom this rare malformation was discovered at the time of implantable cardioverter–defibrillator (ICD) implant. 

References

Cheng Z, Deng H, Cheng K, Chen T, Gao P, Fang Q. Implantation of a pacemaker in a patient with persistent left superior vena cava and absence of right superior vena cava. Int J Cardiol 2013; 168: e53-4. http://dx.doi.org/10.1016/j.ijcard.2013.06.108

Bing LL, Lee SS, Umlauf ZQ. Utilizing a left ventricular delivery tool to access the right ventricle in a case of persistent superior vena cava. EP Lab Digest 2013; 13: 24. http://www.eplabdigest.com/issue/8534

Uçar O, Paşaoğlu L, Ciçekçioğlu H, Vural M, Kocaoğlu I, Aydoğdu S. Persistent left superior vena cava with absent right superior vena cava: a case report and review of the literature. Cardiovasc J Afr 2010; 21: 164-6. PMID: 20532458.http://www.ncbi.nlm.nih.gov/pubmed/20532458

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Published

2014-07-05

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Articles