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Arquivos Brasileiros de Cardiologia

Print version ISSN 0066-782X

Abstract

COSTA, Roberto et al. Bi-atrial subxiphoid epicardial pacemaker in superior vena cava syndrome. Arq. Bras. Cardiol. [online]. 2006, vol.87, n.4, pp. e101-e103. ISSN 0066-782X.  http://dx.doi.org/10.1590/S0066-782X2006001700024.

A patient with a bi-atrial-ventricular permanent pacemaker due to paroxystic atrial fibrillation associated to sinus bradycardia, in chronic use of oral anticoagulant, presented clinical signs of superior vena cava syndrome. Digital subtraction venography showed total obstruction of the right brachiocephalic venous trunk and severe stenosis of the connection of the left trunk to the superior vena cava. The therapeutic approach consisted of complete removal of transvenous system followed by re-implant of the bi-atrial-ventricular system using an epicardial subxiphoid access with fluoroscopic assistance

Keywords : Pacemaker artificial; bi-atrial pacemaker; superior vena cava syndrome; atrial fibrillation.

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