一名患有永存左上腔静脉并伴有右侧上腔静脉缺如患者的永久性心脏起搏
Permanent cardiac pacing in a patient with persistent left superior vena cava and concomitant agenesis of the right-sided superior vena cava.
作者信息
Hassine M, Hamdi S, Chniti G, Boussaada M, Bouchehda N, Mahjoub M, Ben Hamda K, Betbout F, Maatouk F, Gamra H
机构信息
Cardiology A Department, Fattouma Bourguiba University Hospital, Cardiothrombosis Research Laboratory (LR12SP16), University of Monastir, 5000 Monastir, Tunisia.
Cardiology B Department, Fattouma Bourguiba University Hospital, Tunisia.
出版信息
J Arrhythm. 2015 Oct;31(5):326-7. doi: 10.1016/j.joa.2015.03.008. Epub 2015 May 15.
Persistent left superior vena cava (PLSVC) can be incidentally detected during pacemaker implantation from the left pectoral side. Optimal site pacing is technically difficult, and lead stability of the right ventricle (RV) can lead to such a situation. We describe a case of successful single-chamber pacemaker implantation in a 76-year-old woman with a PLSVC and concomitant agenesis of the right-sided superior vena cava, after failed attempts with the conventional procedure. The pacemaker had been working well after 12 months of follow-up.
永存左上腔静脉（PLSVC）可在经左胸侧植入起搏器时偶然发现。最佳起搏部位在技术上具有挑战性，右心室（RV）起搏导线的稳定性可能导致这种情况。我们描述了一例76岁患有PLSVC且右侧上腔静脉缺如的女性患者，在传统手术尝试失败后成功植入单腔起搏器的病例。随访12个月后，起搏器工作良好。
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