Superior vena cava (SVC) lies in the upper mediastinum, laterally to the right in the great vessel area. It serves the venous drainage of the upper part of the body, including the brain, directing the flow to the right atrium. Lung cancer, mediastinal malignancies, benign conditions and a variety of other diseases and clinical conditions in the adult population may lead to surgery involving this large vein.

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One of the few areas in clinical medicine which is more affected by advances in engineering technology is cardiac pacing. In about half a century since the first implantation of a pacing system, there has been a significant progress concerning the pacing devices and along with the growing number of new indications for pacing, this will lead to an increasing number of implanted devices over the following years.

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