Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies
We report two young patients with symptomatic sick sinus syndrome admitted for permanent pacemaker implantation (PPI). On evaluation with echocardiography, one of them was found to have persistent left superior vena cava and venography showed absent right superior vena cava also. He underwent PPI wi...
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doaj-b366d2fdccf64fd6a18095b2dcc7bd832020-11-25T00:20:20ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2015-01-0116310711010.4103/1995-705X.164458Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomaliesShanmuga Sundaram RathakrishnanTamilarasu KaliappanRajendiran GopalanWe report two young patients with symptomatic sick sinus syndrome admitted for permanent pacemaker implantation (PPI). On evaluation with echocardiography, one of them was found to have persistent left superior vena cava and venography showed absent right superior vena cava also. He underwent PPI with leads inserted via left superior vena cava, coronary sinus, right atrium and right ventricle. The other patient was incidentally found to have interrupted inferior vena cava with azygos continuation while being planned for temporary pacemaker implantation. She underwent successful PPI. We would like to stress the importance of having a high suspicion for these systemic venous anomalies in patients presenting with sick sinus syndrome especially at young age. If we could diagnose preoperatively, we can avoid on table surprises.http://www.heartviews.org/article.asp?issn=1995-705X;year=2015;volume=16;issue=3;spage=107;epage=110;aulast=RathakrishnanPermanent pacemaker implantationsick sinus syndromesystemic venous anomalies |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shanmuga Sundaram Rathakrishnan Tamilarasu Kaliappan Rajendiran Gopalan |
spellingShingle |
Shanmuga Sundaram Rathakrishnan Tamilarasu Kaliappan Rajendiran Gopalan Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies Heart Views Permanent pacemaker implantation sick sinus syndrome systemic venous anomalies |
author_facet |
Shanmuga Sundaram Rathakrishnan Tamilarasu Kaliappan Rajendiran Gopalan |
author_sort |
Shanmuga Sundaram Rathakrishnan |
title |
Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies |
title_short |
Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies |
title_full |
Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies |
title_fullStr |
Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies |
title_full_unstemmed |
Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies |
title_sort |
beware of venous anomalies in young patients with sick sinus syndrome: a report of two cases of sick sinus syndrome with systemic venous anomalies |
publisher |
Wolters Kluwer Medknow Publications |
series |
Heart Views |
issn |
1995-705X |
publishDate |
2015-01-01 |
description |
We report two young patients with symptomatic sick sinus syndrome admitted for permanent pacemaker implantation (PPI). On evaluation with echocardiography, one of them was found to have persistent left superior vena cava and venography showed absent right superior vena cava also. He underwent PPI with leads inserted via left superior vena cava, coronary sinus, right atrium and right ventricle. The other patient was incidentally found to have interrupted inferior vena cava with azygos continuation while being planned for temporary pacemaker implantation. She underwent successful PPI. We would like to stress the importance of having a high suspicion for these systemic venous anomalies in patients presenting with sick sinus syndrome especially at young age. If we could diagnose preoperatively, we can avoid on table surprises. |
topic |
Permanent pacemaker implantation sick sinus syndrome systemic venous anomalies |
url |
http://www.heartviews.org/article.asp?issn=1995-705X;year=2015;volume=16;issue=3;spage=107;epage=110;aulast=Rathakrishnan |
work_keys_str_mv |
AT shanmugasundaramrathakrishnan bewareofvenousanomaliesinyoungpatientswithsicksinussyndromeareportoftwocasesofsicksinussyndromewithsystemicvenousanomalies AT tamilarasukaliappan bewareofvenousanomaliesinyoungpatientswithsicksinussyndromeareportoftwocasesofsicksinussyndromewithsystemicvenousanomalies AT rajendirangopalan bewareofvenousanomaliesinyoungpatientswithsicksinussyndromeareportoftwocasesofsicksinussyndromewithsystemicvenousanomalies |
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1725368361487958016 |