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Surgical patch venoplasty after unsuccessful percutaneous balloon venoplasty for pacemaker lead–related superior vena cava stenosis  Dhaval Desai, MD,

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Presentation on theme: "Surgical patch venoplasty after unsuccessful percutaneous balloon venoplasty for pacemaker lead–related superior vena cava stenosis  Dhaval Desai, MD,"— Presentation transcript:

1 Surgical patch venoplasty after unsuccessful percutaneous balloon venoplasty for pacemaker lead–related superior vena cava stenosis  Dhaval Desai, MD, Ryan Cooley, MD, FHRS, David Kress, MD, Suhail Q. Allaqaband, MD  HeartRhythm Case Reports  Volume 4, Issue 4, Pages (April 2018) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: Bulging superficial abdominal veins in patient with superior vena cava (SVC) stenosis. B: Venogram shows a severe stenosis at the SVC–right atrium (RA) junction (red arrows) and prominent azygos vein (blue arrow). C: Balloon venoplasty is attempted to decrease stenosis across the SVC-RA junction. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Serial axial images on computed tomography show persistent stenosis after attempted percutaneous venoplasty. The superior vena cava (SVC)–right atrium (RA) junction remained significantly narrowed; only the pacemaker leads are visualized at the junction (arrowheads). B: Computed tomography scan after surgical patch venoplasty shows widely patent SVC and SVC-RA junction (arrow). LA = left atrium. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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