Amikam S, Lemer J, Riss E
Thorax. 1977 Dec;32(6):777-80. doi: 10.1136/thx.32.6.777.
A persistent left superior vena cava can complicate the implantation of a transvenous pacemaker. In a patient who required a permanent pacemaker, this venous anomaly was discovered during the insertion of the electrode but it did not prevent long-term right ventricular pacing. This was achieved after the electrode had been manipulated through the coronary sinus and right atrium. A plan of management is proposed for dealing with this unexpected problem.
永存左上腔静脉可能会使经静脉起搏器的植入变得复杂。在一名需要植入永久起搏器的患者中，在插入电极过程中发现了这种静脉异常，但这并未妨碍长期的右心室起搏。通过将电极经冠状窦和右心房进行操作后实现了右心室起搏。本文提出了应对这一意外问题的处理方案。
