{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:20:09Z","timestamp":1789154409155,"version":"build-2803163510"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Duplication of the superior vena cava is a rare congenital anomaly. Although often asymptomatic, this anatomical variation can complicate cardiovascular procedures, particularly those involving central venous access. We present the case of an 82\u2010year\u2010old female with multiple comorbidities, who was incidentally found to have a persistent left superior vena cava (PLSVC) during pacemaker implantation for digoxin\u2010induced complete heart block. The initial pacemaker implantation on the left side was unsuccessful due to resistance, which led to the identification of PLSVC via contrast\u2010enhanced CT scan. The procedure was successfully completed by shifting the implantation to the right side. This case highlights the importance of recognizing venous anomalies such as PLSVC during interventional procedures, as early identification can prevent complications and inform surgical strategy. Awareness of such congenital variations is essential, particularly in patients with complex medical histories.<\/jats:p>","DOI":"10.1002\/ccr3.70227","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:38:30Z","timestamp":1741739910000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Persistent Left Superior Vena Cava in\u00a0Pacemaker Implantation for Digoxin\u2010Induced Complete Heart Block: Clinical Considerations and Challenges"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8300-0262","authenticated-orcid":false,"given":"Abdalhakim","family":"Shubietah","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Advocate Illinois Masonic Medical Center  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Doudein","sequence":"additional","affiliation":[{"name":"Cardiology Department Specialized Arab Hospital  Nablus Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6539-0417","authenticated-orcid":false,"given":"Islam","family":"Rajab","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine St. Joseph's University Medical Center  Paterson New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Mashaqi","sequence":"additional","affiliation":[{"name":"Head of Cardiology Department Specialized Arab Hospital  Nablus Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Hmeedan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine An\u2010Najah National University Hospital  Nablus Palestine"},{"name":"Faculty of Medicine and Health Sciences An\u2010Najah National University  Nablus Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qutaiba","family":"Qafisheh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Toledo  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdalrahman","family":"Assaassa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1286-0115(06)74317-X"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2018.1438564"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.14797\/ZQME8581"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims-20-1387"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/6401236"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/jcis.JCIS_31_18"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes497"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3941\/jrcr.v8i1.1354"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:17:07Z","timestamp":1764253027000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/ccr3.70227"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70227","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70227"}}