Pacemaker Induced Superior Vena Cava Obstruction: Management by Spiral Vein Graft |
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| Authors: | J.A. ODELL,G.R. KEETON,R.N. SCOTT MILLAR,,S.J. BENINGFIELD&dagger |
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| Affiliation: | Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota;Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa;Cardiac Clinic, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa;Department of Radiology, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa |
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| Abstract: | A 35-year-old male developed superior vena cava (SVC) obstruction due to multiple retained pacemaker leads. This caused cyanosis and suffusion of the head and neck during arm exercise, with desaturation from 99%-90% demonstrated by ear oximetry. The SVC was bypassed using a spiral vein graft because of worsening symptoms. Dramatic improvement resulted, with desaturation no longer demonstrable. |
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| Keywords: | superior vena cava obstruction pacemaker electrodes spiral vein graft |
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