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Left Superior Vena Cava (SVC) with Pacemaker

Imaging findings

Radiograph shows pacemaker leads following an atypical course (not into the right SVC). CT confirms a persistent left SVC with a small, non-functional bridging vein.

Key takeaways

Variant venous anatomy can complicate pacemaker placement; when no bridging vein is present or if it is too small, a left-sided approach is required.

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