Fukuda Yujiro, Yoshida Teruhisa, Inage Tomohito, Takeuchi Tomohiro, Nagamoto Yasutsugu, Gondo Takeki, Imaizumi Tsutomu
Department of Internal Medicine, Division of Cardio-Vascular Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan.
Heart Vessels. 2008 May;23(3):206-8. doi: 10.1007/s00380-007-1032-7. Epub 2008 May 17.
Absent right superior vena cava with persistent left superior vena cava in normal situs is an exceedingly rare congenital anomaly. In such cases, pacemaker implantation (PMI) is very difficult or even impossible. We report the case of a patient with sick sinus syndrome in whom PMI was easily performed via the left superior vena cava by using a steerable stylet.
正常位置的右位上腔静脉缺如伴永存左上腔静脉是一种极其罕见的先天性异常。在这种情况下,起搏器植入术(PMI)非常困难甚至不可能进行。我们报告了一例病态窦房结综合征患者,通过使用可操纵的探针经左上腔静脉轻松完成了PMI。