Superior vena cava reconstruction and implantation of a leadless pacemaker for management of pacemaker-induced superior vena cava syndrome

Superior vena cava (SVC) syndrome is a rare complication of transvenous pacemaker implantation. Treatment strategies include endovascular stenting and open SVC reconstruction. In either case, the need for implantation of new pacing leads can present clinical challenges. Here we present the first reported use of a surgically placed leadless pacemaker for the treatment of pacemaker-induced SVC syndrome.