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Successful Implantation of an Implantable Cardioverter-Defibrillator Through a Persistent Left Superior Vena Cava
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±è¾Æ¸§(Kim A-Reum) - ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼øȯ±â³»°ú
±è´ëÇõ(Kim Dae-Hyeok) - ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼øȯ±â³»°ú
±ÇÁØ(Kwan Jun) - ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼øȯ±â³»°ú
¹Ú±Ý¼ö(Park Keum-Soo) - ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼øȯ±â³»°ú
ÀÌ¿ìÇü(Lee Woo-Hyung) - ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼øȯ±â³»°ú
Abstract
The prevalence of persistent left superior vena cava (PLSVC) in the general population has been estimated to be approximately 0.3%, as determined by autopsy. PLSVC is hemodynamically insignificant if it is not associated with other congenital cardiac anomalies, and usually goes unrecognized until a left superior approach to the heart is required. Here, we report a 60-year-old male diagnosed with dilated cardiomyopathy, who had survived an episode of sudden cardiac arrest with documented ventricular fibrillation. PLSVC was recognized incidentally while implanting an implantable cardioverter-defibrillator (ICD). The ICD was successfully implanted through the left superior vena cava via the coronary sinus using a straight stylet and an active fixation device.
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ÀÜÁ¸ ÁÂÃø »ó´ëÁ¤¸Æ, ½É½ÇÁ¦¼¼µ¿±â
Persistent left superior vena cava, Implantable cardioverter-defibrillator
KMID :
0882420140870030328
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À¯È¿¼º°á°ú(Recomendation)
The ICD was successfully implanted through the left superior vena cava via the coronary sinus using a straight stylet and an active fixation device.