Central Venous Line Placement in the Superior Vena Cava and the Azygos Vein: Differentiation on Posteroanterior Chest Radiographs

We like to report this case of a 28-year-old lady, who had celiac disease and developed complete Superior Vena Cava Obstruction secondary to prolonged corrective calcium therapy for refractory Hypocalcemia through the central venous line. Usually Superior Vena Cava Syndrome (SVCS) due to Superior Vena Cava obstruction (SVCO) has infective and malignant etiologies. Our case is a rare and benign cause, managed surgically after failed endovascular recanalization by the interventional radiologist.

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Cephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2004.01392.x ◽

2005 ◽

Vol 15 (1) ◽

pp. 47-49 ◽

Cited By ~ 2

Author(s):

TOSHIMI ARAI ◽

MASAO YAMASHITA

Keyword(s):

Central Venous Catheter ◽

Superior Vena Cava ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Chest Radiographs ◽

Central Venous ◽

Catheter Tip

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Management of Superior Vena Cava Occlusion Causing Bleeding “Downhill” Esophageal Varices

Journal of Endovascular Therapy ◽

10.1177/1526602821989330 ◽

2021 ◽

pp. 152660282198933

Author(s):

Pablo V. Uceda ◽

Julio Peralta Rodriguez ◽

Hernán Vela ◽

Adelina Lozano Miranda ◽

Luis Vega Salvatierra ◽

...

Keyword(s):

Superior Vena Cava ◽

Esophageal Varices ◽

Superior Vena ◽

Vena Cava ◽

Central Venous Catheters ◽

Dialysis Patients ◽

Central Venous ◽

Endovascular Recanalization ◽

Flow Through ◽

The Right

The health care system in Peru treats 15,000 dialysis patients annually. Approximately 45% of patients receive therapy using catheters. The incidence of catheter-induced superior vena cava (SVC) occlusion is increasing along with its associated significant morbidity and vascular access dysfunction. One of the unusual manifestations of this complication is bleeding “downhill” esophageal varices caused by reversal of blood flow through esophageal veins around the obstruction to the right atrium. Herein is presented the case of an 18-year-old woman on hemodialysis complicated by SVC occlusion and bleeding esophageal varices who underwent successful endovascular recanalization of the SVC. Bleeding from “downhill” esophageal varices should be considered in the differential diagnosis of dialysis patients exposed to central venous catheters. Aggressive endovascular treatment of SVC occlusion is recommended to preserve upper extremity access function and prevent bleeding from this complication.

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Case of an Incidental Finding of a Persistent Left Superior Vena Cava Discovered After Placement of Central Venous Catheter

CHEST Journal ◽

10.1378/chest.1704971 ◽

2013 ◽

Vol 144 (4) ◽

pp. 292A

Author(s):

Brendon Colaco ◽

Saba Saleem ◽

Clinton Colaco ◽

Mohammad Siddiqui

Keyword(s):

Central Venous Catheter ◽

Superior Vena Cava ◽

Incidental Finding ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Central Venous ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena

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Electrosurgical Removal of a Central Venous Catheter Inadvertently Sutured Into the Superior Vena Cava

JACC Cardiovascular Interventions ◽

10.1016/j.jcin.2021.07.036 ◽

2021 ◽

Author(s):

Sandeep Arunothayaraj ◽

Kristoffer Tanseco ◽

Anna-Lucia Koerling ◽

Andrew Hill ◽

Jonathon Hyde ◽

...

Keyword(s):

Central Venous Catheter ◽

Superior Vena Cava ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Central Venous

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Persistent Left Superior Vena Cava in Pediatric Patients

The Journal of Vascular Access ◽

10.1177/112972980901000317 ◽

2009 ◽

Vol 10 (3) ◽

pp. 219-220 ◽

Cited By ~ 3

Author(s):

Marco Caruselli ◽

Gianmarco Piattellini ◽

Gianfranco Camilletti ◽

Roberto Giretti ◽

Raffaella Pagni

Keyword(s):

Superior Vena Cava ◽

Pediatric Patients ◽

Central Venous Catheterization ◽

Jugular Vein ◽

Superior Vena ◽

Vena Cava ◽

Central Venous ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Venous Catheterization

A persistent left superior vena cava (PLSVC) is a congenital anomaly of the systemic venous system. This anomaly is often discovered as an incidental result during central venous catheterization passing through the left subclavian or the left internal jugular vein. We report two cases of PLSVC in pediatric patients.

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