Persistent Left Superior Vena Cava: What the Interventional Nephrologist Needs to Know

2009 ◽  
Vol 10 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Antonio Granata ◽  
Simeone Andrulli ◽  
Fulvio Fiorini ◽  
Francesco Logias ◽  
Michele Figuera ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Embryological Development ◽  
Left Superior Vena Cava ◽  
Cardinal Vein ◽  
Persistent Left Superior Vena ◽  
Venous Catheterization

Variations in the course of the blood vessels are often incidental findings during clinical examination. Persistent left superior vena cava (PLSVC) is an uncommon anomaly, estimated to be present in about 0.3–0.5% of healthy individuals and in about 3–10% of patients with congenital heart disease. It results from the failure of the left anterior cardinal vein to degenerate during embryological development. Serious complications such as shock, angina and cardiac arrest have been described during catheterization in adults with a PLSVC. Since it frequently goes undiagnosed because of lack of symptoms when not accompanied by other anomalies, variations of the superior vena cava should be considered, especially when central venous catheterization via the subclavian or internal jugular vein is difficult. The embryological development, diagnosis, and clinical implications of a PLSVC are therefore reviewed in this article.

Persistent Left Superior Vena Cava in Pediatric Patients

2009 ◽  
Vol 10 (3) ◽  
pp. 219-220 ◽  
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.

scholarly journals Persistent Left Superior Vena Cava: A Finding After Central Venous Catheterization

2021 ◽  
Author(s):  
Francisco Lopes Morgado ◽  
Bárbara Saraiva ◽  
Celestina Blanco Torres ◽  
João Correia
Keyword(s):  
Superior Vena Cava ◽  
Central Venous Catheterization ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Anatomical Variant ◽  
Persistent Left Superior Vena ◽  
Venous Catheterization ◽  
Catheter Tip

Introduction: Persistence of the left superior vena cava (LSVC) is a rare anatomical variant in the general population with an estimated incidence of 0.3-0.5% in healthy individuals. Its diagnosis can be made incidentally after imaging control of central venous catheter (CVC) or other types of devices placements. Patient and Methods: We present the case of a patient with an acute disease which required central venous catheterization for the administration of intravenous chemotherapy. Results: Central venous catheterization proved difficult and after imaging control it revealed an unusual position of the catheter tip. Additional study to verify catheter tip position was performed and computed tomography (CT-scan) revealed the presence of a persistent left superior vena cava. The patient was then submitted to the planned treatment without any record of complications associated with CVC. Conclusion: Although uncommon the persistence of the LSVC can have an important impact in clinical practice, particularly when more invasive procedures are required. Its recognition is relevant in order to minimize the potential complications inherent to these procedures.

Long-term central venous catheterization via persistent left superior vena cava

2003 ◽  
Vol 11 (3) ◽  
pp. 190-192 ◽  
Author(s):  
Lamberto Laurenzi ◽  
Sebastiano Natoli ◽  
Lorella Pelagalli ◽  
Maria Elena Marcelli ◽  
Daniele Abbattista ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Central Venous Catheterization ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Venous Catheterization

scholarly journals Persistent Left Superior Vena Cava: A Rare Association

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110155
Author(s):  
Jayalaxmi Shripati Aihole
Keyword(s):  
General Population ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Unique Case ◽  
Left Superior Vena Cava ◽  
Cardinal Vein ◽  
Persistent Left Superior Vena ◽  
Rare Association

Persistent left superior vena cava (PLSVC) is the most frequent abnormality in the general population with the frequency of 0.1% to 0.5%. It results from the failure of the involution of the left anterior cardinal vein. Right and Left SVC can coexist together in 80% to 90% of cases. Association of PLSVC with ano rectal malformation (ARM) is very rarely reported. Hence, here is a report of a unique case of PLSVC in a female neonate with ARM

scholarly journals Persistent Left Superior Vena Cava: Implications of Surgical Management

2019 ◽  
Vol 7 ◽  
pp. 232470961985575
Author(s):  
Robin Boyer ◽  
Ramanjeet Sidhu ◽  
Aslan Ghandforoush ◽  
Theingi Win ◽  
Arash Heidari
Keyword(s):  
Superior Vena Cava ◽  
Cardiac Transplantation ◽  
Incidental Finding ◽  
Superior Vena ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Cardiac Murmur ◽  
Cardinal Vein ◽  
Persistent Left Superior Vena ◽  
Device Placement

Persistent left superior vena cava is the most common congenital anomaly of thoracic venous return, which results when the left anterior cardinal vein fails to regress. A 41-year-old African American male with a history of an unspecified childhood cardiac murmur presented to the emergency department with congestive heart failure exacerbation revealing an incidental finding of a persistent left superior vena cava. Ultimately, he required implantable cardioverter defibrillator placement and cardiac transplantation assessment. In the setting of advanced device placement or cardiac transplantation, a persistent left superior vena cava warrants several important clinical considerations at a center capable of addressing the possibility of a right-sided approach and transplantation irregularities.

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.

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