Author(s)

Sergio Conti^1,2*, Antonio Taormina^1,3, Vito Bonomo^1,4, Umberto Giordano¹, Giuseppe Sgarito¹

¹ARNAS Ospedale Civico Di Cristina Benfratelli, Palermo, Italy.
²University of Tor Vergata, Rome, Italy.
³University of Messina, Messina, Italy.
⁴University of Palermo, Palermo, Italy.

The persistence of left superior vena cava (PLSVC) is the most common congenital anomaly of the venous return system to the heart. Because of the increasing number of patients referred for cardiac resynchronization therapy (CRT) devices implantations, it is expected to encounter this venous anatomic variation. Left ventricular lead placement at an appropriate site is an integral and technically challenging part of successful CRT. In case of cardiac abnormalities could be difficult to achieve an optimal cardiac rhythm management devices implantation. Previous reports in patients with PLSVC highlighted the challenges to achieve an optimal cardiac rhythm device implantation. Recently, a new quadripolar active fixation left ventricular lead is available for CRT device implantation. Hereby we report a case of a device upgrading from dual-chamber pacemaker to CRT with defibrillator backup using the active fixation left ventricular quadripolar lead in a patient with PLSVC and right superior vena cava atresia.

Cardiac Resynchronization Therapy, Anatomic Abnormalities, Persistent Left Superior Vena Cava, Right Vena Cava Atresia, Active-Fixation Lead

Conti, S. , Taormina, A. , Bonomo, V. , Giordano, U. and Sgarito, G. (2018) CRT-D Upgrading in a Patient with Persistent Left Superior Vena Cava and Right Superior Vena Cava Atresia Using the Novel Active-Fixation Quadripolar Left Ventricular Lead. World Journal of Cardiovascular Diseases, 8, 462-466. doi: 10.4236/wjcd.2018.89045.