Tunnelled haemodialysis catheter insertion into the persistent left superior vena cava

2020 ◽  
pp. 112972982093352
Author(s):  
Tomasz Liberek ◽  
Wojciech Świąder ◽  
Andrzej Koprowski ◽  
Bartosz Baścik ◽  
Alicja Dębska-Ślizień
Keyword(s):  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Vein ◽  
Left Internal Jugular Vein ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Haemodialysis Catheter

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.

Catheterization of a Persistent Left Superior Vena Cava

2009 ◽  
Vol 10 (3) ◽  
pp. 214-215 ◽  
Author(s):  
Lúcia F. Parreira ◽  
Carlos C. Lucas ◽  
Célia C. Gil ◽  
José D. Barata
Keyword(s):  
Superior Vena Cava ◽  
Right Atrium ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Fetal Life ◽  
Left Internal Jugular Vein ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
The Right

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.

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.

Superior vena cava reconstruction under the left internal jugular vein to left femoral vein bypass support

Perfusion ◽  
2017 ◽  
Vol 32 (7) ◽  
pp. 613-615
Author(s):  
Jun Ba ◽  
Runsheng Peng ◽  
Hui Shi ◽  
Chunsheng Wang
Keyword(s):  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Jugular Vein ◽  
Superior Vena ◽  
Femoral Vein ◽  
Tumor Resection ◽  
Vena Cava ◽  
Left Internal Jugular Vein ◽  
Venous Bypass ◽  
Malignant Thymoma

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.

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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