ISSN 2149-2247 | E-ISSN 2149-2549
1 Department of Cardiology, Izmir Katip Celebi University Faculty of Medicine, İzmir, Turkey  
Erciyes Med J ; : -


Systemic venous anomalies without other congenital heart defects are usually asymptomatic and usually found out incidentally during a vascular intervention or other surgery. A 60 years-old man with DDD cardiac permanent pacemaker admitted to emergency department with syncope and total atrioventricular block due to end of life of the permanent pacemaker. The lead of the transient pacemaker could not be advanced via transfemoral access to the right ventricle. Venography revealed left sided inferior vena cava drained into persistent left superior vena cava and both of which continued with the coronary sinus. To avoid unexpected events, venography should be performed to find out venous congenital anomalies during transient or persistent pacemaker implantation.

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