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Dual-chamber pacemaker in persistent left superior vena cava
  1. Fraz Umar,
  2. Abdalla Alzuwam,
  3. Faizel Osman
  1. Department of Cardiology, University Hospital Coventry, Coventry, UK
  1. Correspondence to Dr Faizel Osman, Department of Cardiology, University Hospital Coventry, Clifford Bridge Road, Coventry, CV2 2DX, UK; faizel.osman{at}

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An 84-year-old woman presented with pre-syncope. Her initial resting 12-lead ECG revealed sinus bradycardia and subsequent ECG revealed complete heart block associated with symptoms; she therefore underwent implantation of a dual-chamber permanent pacemaker. Implantation was performed using the left deltopectoral groove approach via the left cephalic vein. …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.