Permanent pacemaker lead implantation via azygous vein in a patient with silent superior vena cava syndrome

Goktekin O., Besoglu Y., Dogan S. M., Birdane A., Unalir A., GÖRENEK B., ...More

International Journal of Cardiology, vol.117, no.1, 2007 (SCI-Expanded) identifier identifier


Occlusion of the superior vena cava is a rare but serious complication of transvenous endocardial pacing. We describe an unusual approach for permanent pacemaker implantation using the azygous vein in a patient with occlusion of the bilateral total subclavian and innominate veins after previous bilateral pectoral pacemaker implantation. Endocardial pacing using the azygous vein with minimal invasive thoracotomy may be a good option for patients with inaccessible subclavian route. © 2006 Elsevier Ireland Ltd. All rights reserved.