Zamudriakov SS¹*, Ivanitskii EA² and Sakovich VA³

¹Department № 2, Treatment of Cardiac Arrhythmias, "Federal Center of Cardiovascular Surgery" Ministry of Health, Russian Federation, Krasnoyarsk, Russia
²Doctor of Medical Sciences, Department № 2, Treatment of Cardiac Arrhythmias, Head of Department, "Federal Center of Cardiovascular Surgery" Ministry of Health, Russian Federation, Krasnoyarsk, Russia
³Doctor of Medical Sciences, Medical Chief, "Federal Center of Cardiovascular Surgery" Ministry of Health, Russian Federation, Krasnoyarsk, Russia

*Corresponding Author: Zamudriakov SS, Department № 2, Treatment of Cardiac Arrhythmias, "Federal Center of Cardiovascular Surgery" Ministry of Health, Russian Federation, Krasnoyarsk, Russia.

Received: June 11, 2025; Published: July 27, 2025

Abstract

Implantation of antiarrhythmic devices is a routine treatment method in the practice of a doctor, who do a surgical treatment of cardiac arrhythmias. A dual chamber pacemaker is a main type of treating cardiac bradyarrhythmias. The classic technique of implanting electrodes in cardiac is not difficult for beginner and surgeons with experience. Patients who have a corrected congenital heart defects or anatomical features, may be a reason of some difficulty, like increase the duration of fluoroscopy, change of surgeon approach, heart and vascular damage. There are can be risk of complications in the postoperative period. Often, persistent left superior vena cava (PLSVC) is an anatomical feature of the patient, as a result of a violation of embryogenesis, and is a normal variant. In most cases, this feature is detected intraoperative, after puncture vein, and the entering of guidewire into the vascular, confirmed by venography. From 2021 to 2023, at the Federal Center of Cardiovascular Surgery in Krasnoyarsk Russia, were implanted 541 pacemakers, during the implantation of antiarrhythmic devices, the anatomical feature in the form of PLSVC was intraoperative identified in six patients (1.1%). These patients were successfully implanted with a dual-chamber pacemaker system.

Keywords: Pacemaker; Persistent Left Superior Vena Cava; Bradyarrhythmias

References

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Citation

Citation: Zamudriakov SS., et al. “Implantation of Permanent Dual Pacemaker with Persistent Left Superior Vena Cava as Usual Procedure. Experience of One Beginner Surgeon". Acta Scientific Clinical Case Reports 6.8 (2025): 25-29.

Copyright

Copyright: © 2025 Zamudriakov SS., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.