Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava

Abstract Abstract In case of venous route abnormality during a leadless pacemaker (LP) implantation, it can be challenging if we still performed via the predesigned femoral vein. We report a patient with normal preoperative laboratory and image results, but azygos continuation of the inferior vena c...

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Main Authors: Lanyan Guo, Minxia Zhang, Ying Zhao, Qun Yan, Xuyang Feng, Ling Tao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-025-04511-3
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author Lanyan Guo
Minxia Zhang
Ying Zhao
Qun Yan
Xuyang Feng
Ling Tao
author_facet Lanyan Guo
Minxia Zhang
Ying Zhao
Qun Yan
Xuyang Feng
Ling Tao
author_sort Lanyan Guo
collection DOAJ
description Abstract Abstract In case of venous route abnormality during a leadless pacemaker (LP) implantation, it can be challenging if we still performed via the predesigned femoral vein. We report a patient with normal preoperative laboratory and image results, but azygos continuation of the inferior vena cava (IVC) was suspected during the procedure. Then, we decided to change the implantation strategy, the LP implantation was successfully performed via right jugular vein instead of the classical IVC route. Finally, venous computed tomography (CT) angiography was conducted to testify such venous developmental abnormality. Clinical trial number Not applicable
format Article
id doaj-art-8677e6184e1b46ff86abe1fdd4e01cee
institution Kabale University
issn 1471-2261
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Cardiovascular Disorders
spelling doaj-art-8677e6184e1b46ff86abe1fdd4e01cee2025-02-02T12:07:53ZengBMCBMC Cardiovascular Disorders1471-22612025-01-012511310.1186/s12872-025-04511-3Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cavaLanyan Guo0Minxia Zhang1Ying Zhao2Qun Yan3Xuyang Feng4Ling Tao5Department of Cardiology, Xijing Hospital, Air Force Medical UniversityDepartment of Cardiology, Xijing Hospital, Air Force Medical UniversityDepartment of Cardiology, Xijing Hospital, Air Force Medical UniversityDepartment of Cardiology, Xijing Hospital, Air Force Medical UniversityDepartment of Cardiology, Xijing Hospital, Air Force Medical UniversityDepartment of Cardiology, Xijing Hospital, Air Force Medical UniversityAbstract Abstract In case of venous route abnormality during a leadless pacemaker (LP) implantation, it can be challenging if we still performed via the predesigned femoral vein. We report a patient with normal preoperative laboratory and image results, but azygos continuation of the inferior vena cava (IVC) was suspected during the procedure. Then, we decided to change the implantation strategy, the LP implantation was successfully performed via right jugular vein instead of the classical IVC route. Finally, venous computed tomography (CT) angiography was conducted to testify such venous developmental abnormality. Clinical trial number Not applicablehttps://doi.org/10.1186/s12872-025-04511-3Leadless pacemaker implantationAzygos continuation of the inferior vena cavaJugular vein
spellingShingle Lanyan Guo
Minxia Zhang
Ying Zhao
Qun Yan
Xuyang Feng
Ling Tao
Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
BMC Cardiovascular Disorders
Leadless pacemaker implantation
Azygos continuation of the inferior vena cava
Jugular vein
title Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
title_full Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
title_fullStr Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
title_full_unstemmed Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
title_short Leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
title_sort leadless pacemaker implantation in a patient with congenital azygos continuation of the inferior vena cava
topic Leadless pacemaker implantation
Azygos continuation of the inferior vena cava
Jugular vein
url https://doi.org/10.1186/s12872-025-04511-3
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AT yingzhao leadlesspacemakerimplantationinapatientwithcongenitalazygoscontinuationoftheinferiorvenacava
AT qunyan leadlesspacemakerimplantationinapatientwithcongenitalazygoscontinuationoftheinferiorvenacava
AT xuyangfeng leadlesspacemakerimplantationinapatientwithcongenitalazygoscontinuationoftheinferiorvenacava
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