scholarly journals Persistent Left Superior Vena Cava (PLSVC) with a Connection to the Azygos System: Case Report and Clinical Implications

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Alastair E. Moody ◽  
Catriona E. Moody ◽  
Bryce D. Beutler ◽  
Micaela M. Koci
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Artery Bypass ◽  
Vena Cava ◽  
Venous Catheter ◽  
Clinical Implications ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Anesthetic Considerations ◽  
Rare Anatomic Variant

Persistent left superior vena cava (PLSVC) is a rare anatomic variant that has a significant effect on the structure of the heart and venous system with clinical implications that are far-reaching. The presence of this variant is relevant to central venous catheter insertion, cardioverter-defibrillator placement, coronary artery bypass grafting, and numerous other medical procedures. In this report, we describe a rare case of PLSVC with a connection to the azygos system; notably, the vast majority of PLSVCs connect to the coronary sinus. We also discuss the anatomic and anesthetic considerations for individuals with this uncommon variant.

Persistent left superior vena cava and its clinical implications: case report and literature review

2020 ◽  
Vol 7 (5) ◽  
pp. 130-132
Author(s):  
José Aderval Aragão ◽  
Iapunira Catarina Sant’Anna Aragão ◽  
Felipe Matheus Sant’Anna Aragão ◽  
Paôla Cardoso ◽  
Fernanda Pimentel Cavaliere de Barros ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Clinical Implications ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

Persistent left superior vena cava with absent right superior vena cava: Morphological CT features and clinical implications

2007 ◽  
Vol 116 (3) ◽  
pp. e103-e105 ◽  
Author(s):  
Tobias Heye ◽  
Martina Wengenroth ◽  
Anne Schipp ◽  
Thomas Johannes Dengler ◽  
Lars Grenacher ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Clinical Implications ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Ct Features

Persistent left superior vena cava: Case reports and clinical implications

2006 ◽  
Vol 113 (2) ◽  
pp. 242-246 ◽  
Author(s):  
Heather L. Ratliff ◽  
Mohammed Yousufuddin ◽  
Wesley R. Lieving ◽  
Brent E. Watson ◽  
Amer Malas ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Case Reports ◽  
Superior Vena ◽  
Vena Cava ◽  
Clinical Implications ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

Knowledge of the Anomalies of the Big Central Veins Reduces the Morbidity during the Cannulation for Hemodialysis: Description of a Case of Persistent Left Superior Vena Cava and Revision of Literature

2003 ◽  
Vol 4 (1) ◽  
pp. 25-31 ◽  
Author(s):  
P. Dionisio ◽  
C. Borsetti ◽  
M. Valenti ◽  
E. Caramello ◽  
R. Bergia ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Cardinal Vein ◽  
Persistent Left Superior Vena ◽  
Congenital Agenesis

The persistence of a left superior vena cava is the result of a lack of an embryological involution of the left anterior cardinal vein. This anomaly is very rare: about 0.3% of the general population. Its incidence increases remarkably from 3–10% in those patients affected with congenital heart disease. Described herein is a case of persistent left superior vena cava, discovered by chance, following the placement of a central venous catheter for hemodialysis. A chest X-ray in projection back-forward showed the central venous catheter along the left sternal margin simulating a placement in the aorta artery. This clinical picture, as described in the literature, is often accompanied by other anatomical anomalies, in our case, by the congenital agenesis of a solitary pelvic kidney. In agreement with the literature and in contrast with what has been reported recently, we sustain that a central venous catheter placed, for any reason, in the persistent left superior vena cava must be removed immediately because it can induce hyperkinetic arrhythmia and cardiac arrest as in our case. Our case report should be a warning that lack of awareness of the anomalies of the big central veins can cause a rise in morbidity.

Endocavitary Electrocardiography during Central Vein Catheter Positioning in a Newborn with Persistent Left Superior Vena Cava

2009 ◽  
Vol 10 (3) ◽  
pp. 212-213 ◽  
Author(s):  
Luigi Avolio ◽  
Antonio Rinaldi ◽  
Gianpaolo Serafini ◽  
Giuseppe Martucciello
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Term Infant ◽  
P Wave ◽  
Central Vein ◽  
Qrs Complex ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

We report an unusual presentation of the P wave and QRS complex during ECG-guided endocavitary assessment of the proper location of the central venous catheter in a pre-term infant operated on for esophageal atresia. The P wave and QRS complex had a normal morphology, but lay specularly to normal above the isoelectric line. The chest X-ray showed that the unusual ECG pattern was due to the left paracardiac position of the catheter, just lateral to the aortic arch within a persistent left superior vena cava.

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