Challenge Accepted: Lead Extraction in a Patient with Persistent Left Superior Vena Cava and Right Superior Vena Cava Occlusion

Mutaz Alkalbani; Victoria Luu; Aysha Arshad

doi:10.1016/j.ccep.2023.10.013

Challenge Accepted: Lead Extraction in a Patient with Persistent Left Superior Vena Cava and Right Superior Vena Cava Occlusion

Card Electrophysiol Clin. 2024 Jun;16(2):133-138. doi: 10.1016/j.ccep.2023.10.013. Epub 2023 Nov 18.

Authors

Mutaz Alkalbani¹, Victoria Luu², Aysha Arshad³

Affiliations

¹ Inova Schar Heart and Vascular, 3300 Gallows Road, Falls Church, VA 22042, USA. Electronic address: Mutaz.alkalbani@gmail.com.
² Carient Heart and Vascular, 8100 Ashton Avenue, Suite 200, Manassas, VA 20109, USA.
³ Inova Schar Heart and Vascular, 3300 Gallows Road, Falls Church, VA 22042, USA; Carient Heart and Vascular, 8100 Ashton Avenue, Suite 200, Manassas, VA 20109, USA.

PMID: 38749631
DOI: 10.1016/j.ccep.2023.10.013

Abstract

Persistent left superior vena cava (PLSVC) is an anatomic variant that is relatively uncommon in the general population. Lead extraction through PLSVC is extremely rare. Due to unusual anatomy, the procedure carries challenges that require special considerations and careful planning. The authors report a case of lead extraction through a PLSVC with occluded right superior vena cava and highlight the challenges and outcomes of the procedure.

Keywords: Anomalous venous return; Lead extraction; Persistent left superior vena cava.

Publication types

Case Reports
Review

MeSH terms

Defibrillators, Implantable
Device Removal*
Female
Humans
Male
Pacemaker, Artificial
Persistent Left Superior Vena Cava / diagnostic imaging
Persistent Left Superior Vena Cava / surgery
Superior Vena Cava Syndrome* / diagnostic imaging
Superior Vena Cava Syndrome* / surgery
Vena Cava, Superior* / abnormalities
Vena Cava, Superior* / diagnostic imaging
Vena Cava, Superior* / surgery