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A NOVEL TECHNIQUE OF PLACING RIGHT VENTRICLE LEADS IN PATIENTS WITH PERSISTENT LEFT SUPERIOR VENA CAVA
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  • Laura García-Cano,
  • Thomas Brouzet,
  • Jose Luis Ibañez Criado,
  • Amaya García-Fernández,
  • Marta Monteagudo-Viana,
  • Juan Gabriel Martinez,
  • Alicia Ibañez Criado
Laura García-Cano
Hospital General Universitari d'Alacant Servicio de Cardiologia

Corresponding Author:lauracano1@hotmail.com

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Thomas Brouzet
Hospital General Universitari d'Alacant Servicio de Cardiologia
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Jose Luis Ibañez Criado
Hospital General Universitari d'Alacant Servicio de Cardiologia
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Amaya García-Fernández
Hospital General Universitari d'Alacant Servicio de Cardiologia
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Marta Monteagudo-Viana
Hospital Universitari Sant Joan d'Alacant
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Juan Gabriel Martinez
Hospital General Universitari d'Alacant Servicio de Cardiologia
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Alicia Ibañez Criado
Hospital General Universitari d'Alacant Servicio de Cardiologia
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Abstract

Background: Persistent left superior vena cava is the most common thoracic venous anomaly. It is usually asymptomatic, but it can make it difficult to implant intracardiac devices . Case presentation: We present a novel technique to facilitate right ventricular lead implantation in two patients with persistent left superior vena cava and the absence of the right superior vena cava. We used a fixed-curve Selectra 3D sheath (Biotronik), orienting the sheath towards the tricuspid valve by rotating it in a counter-clockwise direction. During follow-up, the electrodes remained stable. Discussion: Our technique was safe, simple and feasible for patients with this complex venous anatomy.