open access

Vol 12, No 4 (2017)
Electrotherapy
Published online: 2017-09-19
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Mechanical compression of the left brachiocephalic vein detected during pacemaker implantation

Roman Steckiewicz, Elżbieta Barbara Świętoń, Andrzej Zieliński, Przemysław Stolarz
DOI: 10.5603/FC.2017.0075
·
Folia Cardiologica 2017;12(4):413-416.

open access

Vol 12, No 4 (2017)
Electrotherapy
Published online: 2017-09-19

Abstract

Significant morphometric and/or topographic anomalies of the veins used during cardiac implantable electronic device implantation procedures may affect the course of the procedure and increase the risk of postoperative complications. Congenital venous anomalies, post-thrombotic lesions, or compression by upper mediastinal lesions may alter the diameter and shape of the lumen in systemic veins. Vein compression by adjacent anatomical structures prompts blood drainage compensation via collateral circulation, slows blood flow, and causes localized blood stagnation. We present a case report of pacemaker implantation in a patient with a significantly reduced patency of the left brachiocephalic vein due to mechanical compression of the vessel by the brachiocephalic trunk and the sternum.

Abstract

Significant morphometric and/or topographic anomalies of the veins used during cardiac implantable electronic device implantation procedures may affect the course of the procedure and increase the risk of postoperative complications. Congenital venous anomalies, post-thrombotic lesions, or compression by upper mediastinal lesions may alter the diameter and shape of the lumen in systemic veins. Vein compression by adjacent anatomical structures prompts blood drainage compensation via collateral circulation, slows blood flow, and causes localized blood stagnation. We present a case report of pacemaker implantation in a patient with a significantly reduced patency of the left brachiocephalic vein due to mechanical compression of the vessel by the brachiocephalic trunk and the sternum.

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Keywords

brachiocephalic vein, venography, sigmoid sinus, computed tomography, pacemaker

About this article
Title

Mechanical compression of the left brachiocephalic vein detected during pacemaker implantation

Journal

Folia Cardiologica

Issue

Vol 12, No 4 (2017)

Pages

413-416

Published online

2017-09-19

DOI

10.5603/FC.2017.0075

Bibliographic record

Folia Cardiologica 2017;12(4):413-416.

Keywords

brachiocephalic vein
venography
sigmoid sinus
computed tomography
pacemaker

Authors

Roman Steckiewicz
Elżbieta Barbara Świętoń
Andrzej Zieliński
Przemysław Stolarz

References (6)
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  2. Świętoń E, Steckiewicz R, Stolarz P, et al. Przypadek niedrożności żyły bezimiennej — wpływ na wybór postępowania zabiegowego w stałej elektroterapii serca. Folia Cardiol. 2015; 10(2): 129–131.
  3. Ejima K, Shoda M, Manaka T, et al. Left brachiocephalic vein occlusion in a patient with an aortic arch aneurysm: rare cause of obstraction for a pacemaker implantation. J Cardiol Cases. 2014; 9(1): 32–34.
  4. Kahkouee S, Sadr M, Pedarzadeh E, et al. Anomalous left brachiocephalic vein: important vascular anomaly concomitant with congenital anomalies and heart diseases. Folia Morphol (Warsz). 2017; 76(1): 51–57.
  5. Yakushiji Y, Nakazono T, Mitsutake S, et al. Sonographic findings of physiologic left brachiocephalic vein compression in a case initially misdiagnosed as a left internal jugular vein thrombus. J Ultrasound Med. 2009; 28(2): 253–258.
  6. Kudo K, Terae S, Ishii A, et al. Physiologic change in flow velocity and direction of dural venous sinuses with respiration: MR venography and flow analysis. AJNR Am J Neuroradiol. 2004; 25(4): 551–557.

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