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- W2087851661 abstract "A high risk 68-year-old female with severe symptomatic stenosis of a bicuspid aortic valve (BAV) underwent successful implantation of transcatheter aortic valve (TAVI) (CoreValve™ 26 mm, Medtronic, Minneapolis, Minnesota). Because permanent complete atrioventricular (AV) block developed during TAVI, the patient was referred for dual-chamber pacemaker implantation. A left-sided pectoral implantation was attempted. The presence of a persistent left superior vena cava (PLSVC) leading to a dilated coronary sinus was incidentally found during advancement of the guide wire from the left subclavian vein to the superior vena cava and was subsequently verified on venography (Fig. 1A ). Thereafter, a long (65 cm) active fixation lead was manipulated to enter the right ventricle by the use of the wide loop technique [ [1] Dilaveris P. Sideris S. Stefanadis C. Pacing difficulties due to persistent left superior vena cava. Europace. Jan 2011; 13: 2 Crossref PubMed Scopus (8) Google Scholar ] and fixed in the ventricular wall (Fig. 1B). A second lead was screwed-in the atrial wall (Fig. 1C). Finally, the temporary pacing lead was removed, and the pacemaker implantation was completed uneventfully (Fig. 1D and E). (A) The presence of a persistent left superior vena cava leading to a dilated coronary sinus was verified on venography. (B) A long active-fixation lead was manipulated to enter the right ventricle and fixed in the ventricular wall. (C) A second lead was screwed-in the atrial wall. (D and E) Frontal and lateral chest X-ray views showing the final position of the pacemaker system. Black arrow: temporary pacing lead inserted through the right jugular vein." @default.
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- W2087851661 date "2013-06-01" @default.
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- W2087851661 title "Dual-chamber pacemaker implantation in a CoreValve recipient with a persistent left superior vena cava" @default.
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- W2087851661 doi "https://doi.org/10.1016/j.ijcard.2012.09.144" @default.
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