Persistent left superior vena cava as an incidental finding in the introduction of a transient pacemaker: A case report

The persistent left superior vena cava is the most common venous anomaly in the systemic drainage in adults and tends to be asymptomatic. The persistent left superior vena cava causes rhythm disorders such as tachyarrhythmias or bradyarrhythmias. We report a case of persistent left superior vena cav...

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Bibliographic Details
Published in:Biomédica
Main Authors: David Ricardo Echeverry, Juan Guillermo Buitrago, Andrés Alirio Restrepo, Cristhian David Morales
Format: Article in Journal/Newspaper
Language:English
Spanish
Published: Instituto Nacional de Salud 2022
Subjects:
vena cava
superior
incidental findings
heart defects
congenital
echocardiography
acute coronary syndrome
percutaneous coronary intervention
case reports
Medicine
R
Arctic medicine. Tropical medicine
RC955-962
Arctic
Online Access:https://doi.org/10.7705/biomedica.6505
https://doaj.org/article/f23d92f6e2d042398d568cf147ac1424
Description
Summary:The persistent left superior vena cava is the most common venous anomaly in the systemic drainage in adults and tends to be asymptomatic. The persistent left superior vena cava causes rhythm disorders such as tachyarrhythmias or bradyarrhythmias. We report a case of persistent left superior vena cava diagnosed in a 53-year-old female patient admitted due to an acute coronary syndrome associated with unstable bradycardia. A transvenous peacemaker impressed the left atrium; therefore, a transthoracic echocardiogram was required to diagnose persistent left superior vena cava. The patient needed management with percutaneous intervention; she had an adequate evolution and subsequent discharge from the intensive care unit.

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