An unusual ‘bow tie’ image in pacemaker implantation


Turan O. E., Yilancioglu R. Y., Baskurt A. A., Ozcan E. E.

Indian Pacing and Electrophysiology Journal, vol.22, no.1, pp.51-53, 2022 (Scopus)

  • Publication Type: Article / Article
  • Volume: 22 Issue: 1
  • Publication Date: 2022
  • Doi Number: 10.1016/j.ipej.2021.10.007
  • Journal Name: Indian Pacing and Electrophysiology Journal
  • Journal Indexes: Scopus, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.51-53
  • Keywords: Absent right superior vena cava, Cardiac pacemaker, Pacemaker electrode, Persistent left superior vena cava
  • Dokuz Eylül University Affiliated: Yes

Abstract

Upper venous system anatomic variations may cause difficulties during cardiac pacemaker implantation. Persistent left superior vena cava (PLSVC) and absent right superior vena cava could be an arrhythmogenic source of atrial arrhythmias and cardiac conduction disease. We represent dual-chamber pacemaker implantation in a patient with a very rare upper venous system anomaly, paroxysmal atrial fibrillation, sick sinus syndrome, that cause unusual fluoroscopic image.