Persistence of Left Superior Vena Cava in Patient submitted a Pacemaker Implantation


  • Sara Carneiro Vicente Bueno
  • Arnaldo Duarte Lourenço


Superior vena cava, Vascular malformations, Artificial pacemaker


The persistence of the left superior vena cava (PLSVC) is the most frequent thoracic venous malformation, however rare, and with a usually accidental diagnosis. Recurringly, its greatest suspicion is realized in the intraoperative act related to a technical difficulty in performing the procedure, even by more experienced professionals. Case report: patient is 77 years old, woman, chagasic, submitted a definitive pacemaker implant, being the diagnosis of persistence left superior vena cava realized during the surgical procedure. The patient did not present intercurrence during the procedure and developed with substantial clinical improvement after the implantation of the electronic cardiac device, and remaining asymptomatic.


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Bragança EOV. Persistência de veia cava superior esquerda e implante de dispositivos cardíacos eletrônicos. Rev Latino-Am Marcapasso Arritmia. 203;26(4):260-70.

Altunkas A, Altunkas F. A very rare subgroup of persistent left superior vena cava in an adult: isolated persistent left superior vena cava with absence of the congenital heart

diseases. Acta Med Anatolia. 2014;2(1):32-3.

Rodríguez-Fernández JA, Almazán-Soo A. Pacemaker lead implant via the persistent left superior vena cava. Arch Cardiol Mex. 2005;75(Suppl 3):S3-106-12.

Bernardes MVAA, Kool R, Ludtke IN, Luz MA, Erzinger FL. Veia cava superior esquerda persistente: relato de caso. J Vasc Bras. 2016;15(2)153-7.

Goyal SK, Punnam SR, Gita V, Ruberg FL. Persistent left superior vena cava: a case report and review of literature. Cardiovasc Ultrasound. 2008;6:50.

Biffi M, Massaro G, Diemberger I, Martignani C, Corzani A, Ziacchi M. Cardiac resynchronization therapy in persistent left superior vena cava: can you do it two-leads-only? Heart Rhythm Case Rep. 2017;3(1):30-2.



How to Cite

Bueno, S. C. V., & Lourenço, A. D. . (2019). Persistence of Left Superior Vena Cava in Patient submitted a Pacemaker Implantation. JOURNAL OF CARDIAC ARRHYTHMIAS, 32(1), 49–51. Retrieved from



Cardiac Pacing