Implantation of a dual-chamber cardioverter defibrillator system in a patient with dilated cardiomyopathy, pulmonary hypertension and persistent left superior vena cava

George Andrikopoulos, Stylianos Tzeis, Stavros Kounas, Nikolaos Daskalopoulos, Ioannis Mantas, Panos Vardas, George Theodorakis
Hellenic Journal of Cardiology  
We report the case of a dual-chamber cardioverter defibrillator (ICD) implantation in a young patient with a persistent left superior vena cava. The patient had biventricular dilatation, pulmonary hypertension and severely depressed left ventricular ejection fraction due to non-ischemic cardiomyopathy. Appropriate use of currently available, low profile active fixation leads allowed safe implantation of both leads through the left subclavian vein.
pmid:20876060 fatcat:k4hdfoug5jgmxkzigg6upirh3e