Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges
ABSTRACT Duplication of the superior vena cava is a rare congenital anomaly. Although often asymptomatic, this anatomical variation can complicate cardiovascular procedures, particularly those involving central venous access. We present the case of an 82‐year‐old female with multiple comorbidities,...
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70227 |
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| author | Abdalhakim Shubietah Mahmoud Doudein Islam Rajab Saad Mashaqi Alaa Hmeedan Qutaiba Qafisheh Abdalrahman Assaassa |
| author_facet | Abdalhakim Shubietah Mahmoud Doudein Islam Rajab Saad Mashaqi Alaa Hmeedan Qutaiba Qafisheh Abdalrahman Assaassa |
| author_sort | Abdalhakim Shubietah |
| collection | DOAJ |
| description | ABSTRACT Duplication of the superior vena cava is a rare congenital anomaly. Although often asymptomatic, this anatomical variation can complicate cardiovascular procedures, particularly those involving central venous access. We present the case of an 82‐year‐old female with multiple comorbidities, who was incidentally found to have a persistent left superior vena cava (PLSVC) during pacemaker implantation for digoxin‐induced complete heart block. The initial pacemaker implantation on the left side was unsuccessful due to resistance, which led to the identification of PLSVC via contrast‐enhanced CT scan. The procedure was successfully completed by shifting the implantation to the right side. This case highlights the importance of recognizing venous anomalies such as PLSVC during interventional procedures, as early identification can prevent complications and inform surgical strategy. Awareness of such congenital variations is essential, particularly in patients with complex medical histories. |
| format | Article |
| id | doaj-art-86eca1d91d574314a34f553fa1ceb69f |
| institution | DOAJ |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-86eca1d91d574314a34f553fa1ceb69f2025-08-20T02:50:55ZengWileyClinical Case Reports2050-09042025-03-01133n/an/a10.1002/ccr3.70227Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and ChallengesAbdalhakim Shubietah0Mahmoud Doudein1Islam Rajab2Saad Mashaqi3Alaa Hmeedan4Qutaiba Qafisheh5Abdalrahman Assaassa6Department of Internal Medicine Advocate Illinois Masonic Medical Center Chicago Illinois USACardiology Department Specialized Arab Hospital Nablus PalestineDepartment of Internal Medicine St. Joseph's University Medical Center Paterson New Jersey USAHead of Cardiology Department Specialized Arab Hospital Nablus PalestineDepartment of Internal Medicine An‐Najah National University Hospital Nablus PalestineDepartment of Internal Medicine University of Toledo Toledo Ohio USADepartment of Cardiology Thomas Jefferson University Hospital Philadelphia Pennsylvania USAABSTRACT Duplication of the superior vena cava is a rare congenital anomaly. Although often asymptomatic, this anatomical variation can complicate cardiovascular procedures, particularly those involving central venous access. We present the case of an 82‐year‐old female with multiple comorbidities, who was incidentally found to have a persistent left superior vena cava (PLSVC) during pacemaker implantation for digoxin‐induced complete heart block. The initial pacemaker implantation on the left side was unsuccessful due to resistance, which led to the identification of PLSVC via contrast‐enhanced CT scan. The procedure was successfully completed by shifting the implantation to the right side. This case highlights the importance of recognizing venous anomalies such as PLSVC during interventional procedures, as early identification can prevent complications and inform surgical strategy. Awareness of such congenital variations is essential, particularly in patients with complex medical histories.https://doi.org/10.1002/ccr3.70227anatomical variationdouble SVCinterventional cardiologypacemakerpersistent left superior vena cava |
| spellingShingle | Abdalhakim Shubietah Mahmoud Doudein Islam Rajab Saad Mashaqi Alaa Hmeedan Qutaiba Qafisheh Abdalrahman Assaassa Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges Clinical Case Reports anatomical variation double SVC interventional cardiology pacemaker persistent left superior vena cava |
| title | Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges |
| title_full | Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges |
| title_fullStr | Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges |
| title_full_unstemmed | Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges |
| title_short | Persistent Left Superior Vena Cava in Pacemaker Implantation for Digoxin‐Induced Complete Heart Block: Clinical Considerations and Challenges |
| title_sort | persistent left superior vena cava in pacemaker implantation for digoxin induced complete heart block clinical considerations and challenges |
| topic | anatomical variation double SVC interventional cardiology pacemaker persistent left superior vena cava |
| url | https://doi.org/10.1002/ccr3.70227 |
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