Superior vena cava syndrome as a complication of transvenous permanent pacemaker implantation

Chih Ta Lin, Chi Tai Kuo*, Kuo Hung Lin, Tsu Shiu Hsu

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

17 Scopus citations


Venous thrombosis induced by a transvenous permanent pacemaker is a common complication. However, superior vena cava (SVC) syndrome caused by pacemaker leads is only occasionally seen and its prevalence has been estimated to be less than 1 in 1000 pacemaker patients. Herein, we report a Taiwanese patient of high grade AV block, who presented with SVC syndrome 2 years after transvenous permanent pacemaker implantation. This case features fibrotic stenosis of the junction of right brachiocephalic trunk and SVC, and an extensive thrombus formation resulting in complete obliteration of the left brachiocephalic vein. The collateral circulation was so delicate that he still could lead a rather normal life, even if anticoagulant therapy proved to be ineffective from an angiographic point of view.

Original languageEnglish
Pages (from-to)477-480
Number of pages4
JournalJapanese Heart Journal
Issue number4
StatePublished - 07 1999
Externally publishedYes


  • Superior vena cava syndrome
  • Transvenous permanent pacemaker implantation
  • Venous thrombosis


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