A Persistent Left Superior Vena Cava, with the Accessory Nerve Passing through a Duplicate Segment of the Left Internal Jugular Vein: A Unique Presentation

2014 ◽  
Vol 93 (10-11) ◽  
pp. E6-E8 ◽  
Author(s):  
Omar Ayoub ◽  
Jamie Benton ◽  
Shaun Jackson
2020 ◽  
pp. 112972982093352
Author(s):  
Tomasz Liberek ◽  
Wojciech Świąder ◽  
Andrzej Koprowski ◽  
Bartosz Baścik ◽  
Alicja Dębska-Ślizień

Persistent left superior vena cava is an uncommon abnormality of the venous system. Most commonly, it is diagnosed incidentally during central vein catheterisation on the left side or pacemaker implantation. We present the case of a patient with persistent left superior vena cava, which was diagnosed after the attempted insertion of tunnelled haemodialysis catheter through the left internal jugular vein. The presence of the persistent left superior vena cava was confirmed by cardiac echography and angio–computed tomography scan. The 19-cm long tunnelled haemodialysis catheter was inserted into persistent left superior vena cava through the left internal jugular vein with good long-term function.


2009 ◽  
Vol 10 (3) ◽  
pp. 214-215 ◽  
Author(s):  
Lúcia F. Parreira ◽  
Carlos C. Lucas ◽  
Célia C. Gil ◽  
José D. Barata

Patency of the left superior vena cava, although uncommon, is the most frequent anomaly of the thoracic vessels. It has been diagnosed in 0.3–0.5% of the general population. A persistent left superior vena cava (PLSVC) results from the abnormal persistence of an embryological vessel that normally involutes into the coronary sinus during fetal life. Catheterization of this vessel, including hemodialysis (HD) catheter placement, appears to be safe if adequate drainage of the PLSVC to the right atrium exists. We present the case of a 50-year-old HD patient in which the placement of a catheter through the left internal jugular vein, needed for HD treatment, revealed a PLSVC. After the demonstration of adequate draining of the vessel into the right atrium, replacement of this catheter for a cuffed tunneled HD catheter was done, which has since been used successfully for HD.


2009 ◽  
Vol 10 (3) ◽  
pp. 219-220 ◽  
Author(s):  
Marco Caruselli ◽  
Gianmarco Piattellini ◽  
Gianfranco Camilletti ◽  
Roberto Giretti ◽  
Raffaella Pagni

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.


Perfusion ◽  
2017 ◽  
Vol 32 (7) ◽  
pp. 613-615
Author(s):  
Jun Ba ◽  
Runsheng Peng ◽  
Hui Shi ◽  
Chunsheng Wang

The complete surgical resection of malignant thymoma is recommended. We present a rare case of tumor resection and superior vena cava (SVC) reconstruction under veno-venous bypass support from the left internal jugular vein to the left femoral vein. The full amount of systemic heparinization (3 mg/kg) was avoided. The surgical pathology revealed thymic squamous cell carcinoma. No complications such as fatal extensive bleeding, coagulopathy, thromboembolism or transfusion reaction were found postoperatively. The patient was discharged home uneventfully. The support of this veno-venous bypass allows a safe and feasible thymic tumor resection and SVC reconstruction.


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