起搏器植入术中出现的一种不寻常的“领结”影像。

Turan Oguzhan Ekrem, Yilancioglu Resit Yigit, Baskurt Ahmet Anil, Ozcan Emin Evren

Dokuz Eylul University, Faculty of Medicine, Heart Rhythm Management Center, Izmir, Turkey.

Indian Pacing Electrophysiol J. 2022 Jan-Feb;22(1):51-53. doi: 10.1016/j.ipej.2021.10.007. Epub 2021 Nov 1.

Upper venous system anatomic variations may cause difficulties during cardiac pacemaker implantation. Persistent left superior vena cava (PLSVC) and absent right superior vena cava could be an arrhythmogenic source of atrial arrhythmias and cardiac conduction disease. We represent dual-chamber pacemaker implantation in a patient with a very rare upper venous system anomaly, paroxysmal atrial fibrillation, sick sinus syndrome, that cause unusual fluoroscopic image.

上腔静脉系统的解剖变异可能会在心脏起搏器植入过程中造成困难。永存左上腔静脉（PLSVC）和右上腔静脉缺如可能是房性心律失常和心脏传导疾病的致心律失常源。我们展示了一名患有非常罕见的上腔静脉系统异常、阵发性心房颤动、病态窦房结综合征患者的双腔起搏器植入情况，该异常导致了不同寻常的荧光透视影像。