A very rare abnormal course of the thoracic venous system: Long journey to the right ventricle Yao Chang Wang, MBBS, An Ning Feng, MD, Wei Hsian Yin,

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A very rare abnormal course of the thoracic venous system: Long journey to the right ventricle Yao Chang Wang, MBBS, An Ning Feng, MD, Wei Hsian Yin, MD, Mason Shing Young, MD HeartRhythm Case Reports Volume 1, Issue 5, Pages 366-368 (September 2015) DOI: 10.1016/j.hrcr.2015.06.014 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Abnormal course of thoracic venous system. A: Anteroposterior and B: lateral views of chest radiograph revealed a pacemaker lead that traveled via abnormal route to the right ventricle. C, D: Abnormal course of thoracic venous system confirmed by electrocardiographic-gated 64-slice computed tomographic angiography with a 3-dimensional reconstruction. AHAZ = accessory hemiazygos vein; AZ = azygos vein; SVC = superior vena cava; LBC = left common brachiocephalic vein; RA = right atrium. HeartRhythm Case Reports 2015 1, 366-368DOI: (10.1016/j.hrcr.2015.06.014) Copyright © 2015 Heart Rhythm Society Terms and Conditions