Correct!
1. Echocardiogram for associated conditions such as VSD, single atrium, pulmonary stenosis and ASD.

The patient should be evaluated for the other congenital abnormalities which are associated with the anomalous drainage of the internal jugular vein (4). Echocardiogram revealed no such abnormalities and the pacer continued to function normally until a permanent pacemaker was inserted.

References

  1. Pretorius PM, Gleeson FV. Case 74: right-sided superior vena cava draining into left atrium in a patient with persistent left-sided superior vena cava. Radiology. 2004;232 (3): 730-4. [CrossRef] [PubMed]
  2. Smyth YM, Barrett CD, Fahy GJ. Images in cardiology. Biventricular pacemaker implant in a patient with persistent left sided superior vena cava. Heart. 2005;91 (11): 1427. [CrossRef] [PubMed]
  3. Rose M, Gross L, Protos A. Transvenous pacemaker implantation by way of an anomalous left superior vena cava. J Thorac Cardiovasc Surg. 1971;62:965-6. [PubMed]
  4. Povoski SP, Khabiri H. Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients World J Surg Oncol. 2011; 9: 173. [CrossRef] [PubMed]

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