• Int. J. Cardiol. · Apr 2007

    Letter Case Reports

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

    • Omer Goktekin, Yavuz Besoglu, Sait M Dogan, Alparslan Birdane, Ahmet Unalir, Bulent Gorenek, Gulmira Kudaiberdieva, Yuksel Cavusoglu, Necmi Ata, Recep Aslan, and Bilgin Timuralp.
    • Int. J. Cardiol. 2007 Apr 12;117(1):e4-6.

    AbstractOcclusion 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.

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