Reinhardt D, Surber R, Kuehnert H, Heinke M, Figulla H R
Universitätsklinikum Jena, Klinik für Innere Medizin I (Kardiologie, Angiologie, Pneumologie, Internistische Intensivmedizin), Erlanger Allee 101, 07747 Jena.
Herzschrittmacherther Elektrophysiol. 2006 Mar;17(1):35-9. doi: 10.1007/s00399-006-0505-1.
We report an implantation of a cardiac re-synchronization system in a patient with persistent left superior vena cava. This anomaly occurs in 0.3 to 0.5% of healthy individuals and remains usually asymptomatic. Variations of the superior vena cava should be considered in venous catheterization and other procedures such as implantation of pacemaker and ICD systems as well as port catheter insertion. In re-synchronization systems, persistent left superior vena cava can be an obstacle for cannulation of the coronary sinus and placement of a transvenous left ventricular lead.
我们报告了一例在永存左上腔静脉患者中植入心脏再同步化系统的病例。这种异常在0.3%至0.5%的健康个体中出现，通常无症状。在静脉导管插入术以及其他操作，如起搏器和植入式心律转复除颤器（ICD）系统植入以及端口导管插入时，应考虑上腔静脉的变异情况。在心脏再同步化系统中，永存左上腔静脉可能会成为冠状窦插管和经静脉左心室导线置入的障碍。
