{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:36:47Z","timestamp":1787841407393,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Isolated persistent left superior vena cava (PLSVC) is a very rare congenital thoracic venous system anomaly and is commonly an incidental finding, usually detected during central venous access, cardiac catheterization, or cardiothoracic surgeries. This is a rare case report wherein the patient is a known case of ischemic heart disease with s\/p percutaneous transluminal coronary angioplasty (PTCA) with a stent to left anterior descending (LAD) artery with in-stent re-stenosis presented with complete heart block and had an unanticipated discovery of isolated PLSVC on facing difficulty during the transvenous approach of permanent pacemaker implantation (PPI). In this case report, we inspect the challenges associated with and various clinical implications of isolated PLSVC.<\/jats:p>","DOI":"10.4103\/aca.aca_166_23","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T11:03:06Z","timestamp":1720090986000},"page":"270-273","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ischemic Heart Disease with In-Stent Re-Stenosis with Complete Heart Block and Isolated Persistent Left Superior Vena Cava \u2013 Rare Case Report with Challenges and Clinical Implications"],"prefix":"10.4103","volume":"27","author":[{"given":"Santhi Sree","family":"Yedurupaka","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, NRI Medical College and General Hospital, Chinakakani, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B Sanjay Soloman","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anesthesiology, NRI Medical College and General Hospital, Chinakakani, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R Maruthi Vara","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, NRI Medical College and General Hospital, Chinakakani, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"R1-20240901","doi-asserted-by":"crossref","first-page":"104","DOI":"10.4103\/0971-9784.197847","article-title":"Isolated persistent left superior vena cava: A case report and its clinical implications","volume":"20","author":"Bisoyi","year":"2017","journal-title":"Ann Card Anaesth"},{"key":"R2-20240901","first-page":"e1311","article-title":"Pacemaker placement in persistent left superior vena cava","volume":"9","author":"Sundhu","year":"2017","journal-title":"Cureus"},{"key":"R3-20240901","first-page":"OD17","article-title":"Persistent left superior vena cava: A rare case with clinical significance","volume":"10","author":"Rawal","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R4-20240901","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s12872-019-1082-7","article-title":"Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava","volume":"19","author":"Li","year":"2019","journal-title":"BMC Cardiovasc Disord"},{"key":"R5-20240901","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1007\/s00246-010-9754-1","article-title":"Surgical approaches to epicardial pacemaker placement: Does pocket location affect lead survival?","volume":"31","author":"Lichtenstein","year":"2010","journal-title":"Pediatr Cardiol"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1476-7120-4-6","article-title":"A case of absent right and persistent left superior vena cava","volume":"4","author":"P\u00e1link\u00e1s","year":"2006","journal-title":"Cardiovasc Ultrasound"},{"key":"R7-20240901","doi-asserted-by":"crossref","first-page":"847","DOI":"10.3390\/diagnostics10100847","article-title":"Persistent Left Superior Vena Cava with Absent Right Superior Vena Cava and Discrete Subaortic Stenosis Diagnosed in a Patient with Sick Sinus Syndrome: A Case Report and Brief Review of the Literature","volume":"10","author":"Dem\u015fa","year":"2020","journal-title":"Diagnostics (Basel)"},{"key":"R8-20240901","doi-asserted-by":"crossref","first-page":"212","DOI":"10.4103\/aca.ACA_154_17","article-title":"Absent right superior vena cava and persistent left superior vena cava in a patient with bicuspid aortic valve with aortic stenosis","volume":"21","author":"Gupta","year":"2018","journal-title":"Ann Card Anaesth"},{"key":"R9-20240901","doi-asserted-by":"crossref","first-page":"146","DOI":"10.15557\/JoU.2020.0023","article-title":"Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava - 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