Abstract
Implantation of a permanent pacemaker by the transvenous approach might fail from the left side in a patient with abnormal left brachiocephalic vein, including occlusion, or congenital absence of coexisting collateral veins. We report an 85-year-old woman with occlusion of the left brachiocephalic vein accompanied by a large and repeated up-and-down course of the collateral vein draining into the superior vena cava (SVC) along the anterior margin of the aortic arch. Such an unusual venous anomaly was revealed during the procedure of implanting a permanent pacemaker. The course of the tortuous collateral vein was clearly demonstrated by multi-slice computed tomography. Finally, implantation was successful by using the right-sided venous access.
| Original language | English |
|---|---|
| Pages (from-to) | 31-34 |
| Number of pages | 4 |
| Journal | Acta Cardiologica Sinica |
| Volume | 22 |
| Issue number | 1 |
| Publication status | Published - 2006 Mar 1 |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
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Failure of pacemaker implantation due to occlusion of the left brachiocephalic vein. / Lee, Cheng-Han; Cheng, Li-Li; Wu, Jing-Ming; Lin, Li Jen.
In: Acta Cardiologica Sinica, Vol. 22, No. 1, 01.03.2006, p. 31-34.Research output: Contribution to journal › Article
TY - JOUR
T1 - Failure of pacemaker implantation due to occlusion of the left brachiocephalic vein
AU - Lee, Cheng-Han
AU - Cheng, Li-Li
AU - Wu, Jing-Ming
AU - Lin, Li Jen
PY - 2006/3/1
Y1 - 2006/3/1
N2 - Implantation of a permanent pacemaker by the transvenous approach might fail from the left side in a patient with abnormal left brachiocephalic vein, including occlusion, or congenital absence of coexisting collateral veins. We report an 85-year-old woman with occlusion of the left brachiocephalic vein accompanied by a large and repeated up-and-down course of the collateral vein draining into the superior vena cava (SVC) along the anterior margin of the aortic arch. Such an unusual venous anomaly was revealed during the procedure of implanting a permanent pacemaker. The course of the tortuous collateral vein was clearly demonstrated by multi-slice computed tomography. Finally, implantation was successful by using the right-sided venous access.
AB - Implantation of a permanent pacemaker by the transvenous approach might fail from the left side in a patient with abnormal left brachiocephalic vein, including occlusion, or congenital absence of coexisting collateral veins. We report an 85-year-old woman with occlusion of the left brachiocephalic vein accompanied by a large and repeated up-and-down course of the collateral vein draining into the superior vena cava (SVC) along the anterior margin of the aortic arch. Such an unusual venous anomaly was revealed during the procedure of implanting a permanent pacemaker. The course of the tortuous collateral vein was clearly demonstrated by multi-slice computed tomography. Finally, implantation was successful by using the right-sided venous access.
UR - http://www.scopus.com/inward/record.url?scp=33745038297&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745038297&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:33745038297
VL - 22
SP - 31
EP - 34
JO - Acta Cardiologica Sinica
JF - Acta Cardiologica Sinica
SN - 1011-6842
IS - 1
ER -