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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