Persistent left superior vena cava as an incidental finding in the introduction of a transient pacemaker: A case report

David Ricardo Echeverry , Juan Guillermo Buitrago, Andrés Alirio Restrepo, Cristhian David Morales , .

Keywords: Vena cava, superior, incidental findings, heart defects, congenital, echocardiography, acute coronary syndrome, percutaneous coronary intervention, case reports

Abstract

The persistent left superior vena cava is the most common venous anomaly in the systemic drainage in adults and tends to be asymptomatic. The persistent left superior vena cava causes rhythm disorders such as tachyarrhythmias or bradyarrhythmias.
We report a case of persistent left superior vena cava diagnosed in a 53-year-old female patient admitted due to an acute coronary syndrome associated with unstable bradycardia. A transvenous peacemaker impressed the left atrium; therefore, a transthoracic echocardiogram was required to diagnose persistent left superior vena cava. The patient needed management with percutaneous intervention; she had an adequate evolution and subsequent discharge from the intensive care unit.

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  • David Ricardo Echeverry Departamento de Medicina Crítica, Hospital Universitario San Jorge de Pereira, Pereira, Colombia; Departamento de Medicina Crítica, Facultad de Ciencias de la Salud, Universidad Tecnológica de Pereira, Pereira, Colombia http://orcid.org/0000-0002-3845-9955
  • Juan Guillermo Buitrago Departamento de Medicina Crítica, Facultad de Ciencias de la Salud, Universidad Tecnológica de Pereira, Pereira, Colombia http://orcid.org/0000-0003-4934-5774
  • Andrés Alirio Restrepo Departamento de Medicina Crítica, Facultad de Ciencias de la Salud, Universidad Tecnológica de Pereira, Pereira, Colombia http://orcid.org/0000-0001-5097-7571
  • Cristhian David Morales EBM Developing Countries Foundation, Guadalajara de Buga, Colombia; Departamento de Urgencias y Atención Primaria, Comfandi IPS, Guadalajara de Buga, Colombia; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Departamento de Ciencias Básicas, Universidad Tecnológica de Pereira, Pereira, Colombia; Departamento de Salud Pública, Facultad de Salud, Universidad Autónoma de Manizales, Manizales, Colombia http://orcid.org/0000-0002-1606-8398

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How to Cite
1.
Echeverry DR, Buitrago JG, Restrepo AA, Morales CD. Persistent left superior vena cava as an incidental finding in the introduction of a transient pacemaker: A case report. biomedica [Internet]. 2022 Sep. 2 [cited 2024 May 19];42(3):440-4. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/6505

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Published
2022-09-02
Section
Case presentation

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