scholarly journals Persistence of left superior vena cava: a rare cause of hemodialysis tunneled catheter malposition

2021 ◽  
Author(s):  
Afonso Santos ◽  
Ana Gaspar ◽  
Anna Lima ◽  
Catarina Brás ◽  
Pedro Campos ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Detailed Knowledge ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Vessel Anatomy ◽  
Catheter Malposition ◽  
Tunneled Catheter

Abstract Hemodialysis central venous catheter (CVC) insertion can be complicated in patients with anomalous vessel anatomy. In such cases detailed knowledge of thoracic vessel anatomy is necessary to identify the exact location of the catheter. Central venous placement under ultrasound control has significantly reduced the complications associated with blind puncture and allows an appropriate puncture of the desired vessel, but the CVC can still get misplaced if it follows an anomalous route. Herein, we report a case of dialysis catheter placed into a left sided superior vena cava, only diagnosed after CT scan study.

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.

scholarly journals Persistent Left Superior Vena Cava in Hematological Malignancy Requiring Central Venous Catheter Insertion for Intensive Chemotherapy

2015 ◽  
Vol 8 (3) ◽  
pp. 478-481 ◽  
Author(s):  
Osamu Imataki ◽  
Hiroyuki Kubo ◽  
Yukiko Hamasaki ◽  
Maki Oku ◽  
Jun-ichiro Kida ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Intensive Chemotherapy ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

Persistent left superior vena cava is a congenital vascular anomaly, which is possibly arrhythmogenic and thrombogenic, rarely complicated with coronary sinus atresia. We treated a 42-year-old male with Hodgkin's lymphoma requiring central venous catheter placement for intensive chemotherapy. Persistent left superior vena cava was revealed after the insertion of the central venous catheter by the radiological finding of the catheter tip cannulated into the vena cava cavity. The relationship between coronary sinus atresia and persistent left superior vena cava induced by central venous catheterization remains unclear; however, the hematologist should pay attention to the malpositioning of the central venous catheter.

scholarly journals Persistent left superior vena cava detected after central venous catheter insertion

SpringerPlus ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Jan M Sohns ◽  
Martin Fasshauer ◽  
Wieland Staab ◽  
Michael Steinmetz ◽  
Christina Unterberg-Buchwald ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Catheter Insertion ◽  
Central Venous Catheter Insertion ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

Persistent Left Superior Vena Cava in a Heart Transplant Recipient’s Native Heart: A Rare Case Diagnosed by Transesophageal Echocardiogram

2020 ◽  
Vol 24 (4) ◽  
pp. 374-377
Author(s):  
Faisal D. Arain ◽  
Jacqueline Sohn ◽  
Raymond G. Graber
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Heart Transplant ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Transesophageal Echocardiogram ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

Persistent left superior vena cava (PLSVC) is a rare abnormality with incidence reported as 0.3% to 0.5% in the general population and about 10 times higher in patients with congenital heart disease. The diagnosis of PLSVC in native or donor hearts of patients undergoing heart transplants has been reported in surgical journals. However, this rare finding has not been described in similar heart transplant settings in anesthesia literature. This case describes a 44-year-old male orthotopic heart transplant recipient who was incidentally diagnosed with PLSVC in his native heart on transesophageal echocardiogram after a central venous catheter placement. The particular position of the central venous catheter, in our case, raised the suspicion of PLSVC but needed further verification. With the help of images and videos, we demonstrate that transesophageal echocardiogram can be instrumental in diagnosing PLSVC. Furthermore, the case highlights the importance of effectively communicating with the surgeon about such a finding so that the surgical plan can be modified in a timely manner.

Misplaced Central Venous Catheter or Persistent Left Superior Vena Cava?

2017 ◽  
Vol 83 (3) ◽  
pp. 76-77
Author(s):  
Scott G. Blair ◽  
Celia Y. Quang ◽  
Kelsey C. R. Mckee ◽  
Jon D. Simmons ◽  
Sidney B. Brevard
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

Persistent Left Superior Vena Cava and Partially Left Inferior Vena Cava: A Case Report of a Dangerous Central Venous Catheterization

2017 ◽  
Vol 18 (5) ◽  
pp. e66-e69 ◽  
Author(s):  
Biagio Ricciardi ◽  
Carlo Alberto Ricciardi ◽  
Antonio Lacquaniti ◽  
Giuseppe Carella ◽  
Domenico Puzzolo ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Superior Vena Cava ◽  
Inferior Vena ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Venous Catheterization

Background The coexistence of a double superior vena cava (SVC) and a partially left inferior vena cava (PLIVC) with a circumaortic collar, associated with other congenital malformations, was not described previously. Case Description We present a 33-year-old woman in hemodialysis with complete exhaustion of the brachial routes for vascular access, admitted to our Nephrology Unit for a long-term central venous catheter (CVC) implant, usually by us performed under EchoScopic Technique (EST), an echographic venipuncture followed by continuous radioscopic control of guidewire and catheter in all the steps of implant. An intraoperative venography showed a complete stop of right internal jugular vein, a right SVC, a persistent left SVC, a left inferior vena cava in the iliac and subrenal tracts, a circumaortic venous collar in the renal tract, and normal right suprarenal and hepatic tracts. Conclusions The double SVC was related to the persistence of the caudal part of the anterior cardinal veins. As to the PLIVC, the iliac and subrenal parts of the inferior vena cava can be related to the persistent left supracardinal vein, while the circumaortic venous collar to the persistent intersupracardinal and left subsupracardinal anastomoses. All invasive procedures, and particularly those potentially complicated, must be performed under EST, now considered a mandatory tool for CVC implants, owing to the hypothesis of possible venous congenital anomalies.

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