scholarly journals Persistence of Left Superior Vena Cava in Nonagenarian Undergoing Pacemaker Implant: Case Report

2021 ◽  
pp. 63-68
Author(s):  
Lucas Hollanda Oliveira ◽  
Christian Moreno Luize ◽  
Ricardo Sobral de Carvalho ◽  
Marcel Fernando Silva Carvalho ◽  
Danusa Moreira Lago ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Upper Body ◽  
Left Superior Vena Cava ◽  
Task Knowledge ◽  
The Right ◽  
Total Atrioventricular Block ◽  
Double Chamber

Introduction: The persistence of the left superior vena cava (PLSVC) is a congenital malformation of the veins that drain blood from the upper body, causing the flow to the right atrium to be processed through the coronary sinus. Case report: We describe the case of a nonagenarian woman, previously asymptomatic until she developed total atrioventricular block when she was referred for implantation of a double chamber pacemaker. Persistence of the left superior vena cava was detected during the procedure and confirmed by venography. The implantation of the electrodes was performed safely and without complications. Conclusion: Despite not usually causing symptoms, the presence of PLSVC can make invasive procedures a challenging task. Knowledge of anatomy and the use of simple techniques can facilitate interventions in this scenario.

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

scholarly journals A Rare Case Report of Unusual Path of Left Internal Jugular Central Line

2021 ◽  
pp. 1-3
Author(s):  
Rajashekar Rangappa Mudaraddi ◽  
Hany Fawzi Greiss ◽  
Navin Kumar Manickam
Keyword(s):  
Superior Vena Cava ◽  
Case Reports ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Line ◽  
Left Superior Vena Cava ◽  
Common Procedure ◽  
Rare Case Report ◽  
The Right ◽  
Line Path

Central venous cannulation is the most common procedure performed in perioperative setting and intensive care unit. Many case reports reported unusual positioning of central line catheters. Here, we would like to report a case of central line path in persistent left superior vena cava, a rare entity with a course similar to the right internal jugular central line. Preoperative computed tomography chest showed duplex superior vena cava which was not reported.

scholarly journals Aplasia of the superior vena cava and persistent superior left vena cava in a 3-year-old child: Case report

2021 ◽  
Vol 11 (1) ◽  
pp. 85-90
Author(s):  
Vladimir V. Lazarev ◽  
Tatiana V. Linkova ◽  
Pavel M. Negoda ◽  
Anastasiya Yu. Shutkova ◽  
Sergey V. Gorelikov ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Vascular Access ◽  
Vascular System ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
X Ray ◽  
The Right

BACKGROUND: Structural features of the patients vascular system can cause unintended complications when providing vascular access and can disorient the specialist in assessing the location of the installed catheter. This study aimed to demonstrate anatomical features of the vascular system of the superior vena cava and diagnostic steps when providing vascular access in a child. CASE REPORT: Patient K (3 years old) was on planned maintenance of long-term venous access. Preliminary ultrasound examination of the superior vena cava did not reveal any abnormalities. Function of the right internal jugular vein under ultrasound control was performed without technical difficulties; a J-formed guidewire was inserted into the vessel lumen. X-ray control revealed its projection in the left heart, which was regarded as a technical complication, so the conductor was removed. A further attempt to insert a catheter through the right subclavian vein led to the same result. For a more accurate diagnosis, the child underwent computed angiography of the superior vena cava system. Congenital anomalies of the vascular system included aplasia of the superior vena cava and persistent left superior vena cava. Considering the information obtained, the Broviac catheter was implanted under ultrasound control through the left internal jugular vein without technical difficulties with the installation of the distal end of the catheter into the left brachiocephalic vein under X-ray control. CONCLUSION: A thorough multifaceted study of the vascular anatomy helps solve the anatomical issues by ensuring vascular access and preventing the risks of complications.

scholarly journals Successful implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava

2013 ◽  
Vol 70 (12) ◽  
pp. 1162-1164
Author(s):  
Mihailo Vukmirovic ◽  
Lazar Angelkov ◽  
Filip Vukmirovic ◽  
Irena Tomasevic-Vukmirovic
Keyword(s):  
Heart Failure ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Biventricular Pacing ◽  
Severe Heart Failure ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Lead Placement ◽  
The Right

Introduction. Persistent left superior vena cava is the most common thoracic venous abnormality which is usually asymptomatic, found incidentally during pacemaker implantation. The main problem is related to reaching the appropriate pacing site and ensuring stable lead placement. Case report. We reported a successful implantation of a biventricular pacing and defibrillator device (CRT-D) via a persistent left superior vena cava in a 55-year-old man with dilated cardiomyopathy and severe heart failure. A persistent left superior vena cava was detected during CRT-D implantation. We managed to position electrodes in the right ventricular outflow tract, a posterior branch of the coronary sinus and in the right atrium. Conclusion. Congenital anomalies of thoracic veins may complicate lead placement on the appropriate and stable position. The presented case demonstrates a successful biventricular pacing and defibrillator therapy device implantation in a patient with dilated cardiomyopathy and severe heart failure.

Persistent left superior vena cava and its clinical correlation - A cadaveric study

2021 ◽  
Vol 12 (4) ◽  
pp. 118-121
Author(s):  
Sachendra Kumar Mittal ◽  
Rekha Parashar ◽  
Pankaj Kumar Singh ◽  
Leena Jadon
Keyword(s):  
Superior Vena Cava ◽  
Right Atrium ◽  
Superior Vena ◽  
Vena Cava ◽  
Medical Sciences ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Male Cadaver ◽  
The Right ◽  
Brachiocephalic Veins

Background: Presented is a case of persistent left superior vena cava draining into the right atrium through coronary sinus and finally opens into right atrium. Abnormalities of the vascular system are more commonly seen due to its importance in circulation. Persistent left superior vena cava is rare but important congenital vascular anomaly. It results when the left superior cardinal vein caudal to the innominate vein fails to regress.The venous anomaly of a persistent left superior vena cava (PLSVC) affects 0.3%–0.5% of the general population. Normally the superior vena cava is a single vascular structure formed by the union of right and left brachiocephalic veins which are in turn formed by the union of internal jugular and subclavian veins of corresponding side, draining the head and neck as well as the superior extremity. Aims and Objective: To evaluate the accuracy of persistent left superior vena cava and to find out the opening of PLSVC and formations of both SVC. Materials and Methods: During routine dissection of Thorax, we have opened the thoracic cage and take out the Heart. during that we found separate SVC and then we did the study on this PLSVC in the Department of Anatomy, Jaipur National University Institute for Medical Sciences and Research Centre (JNUIMSRC) Jaipur and National Institute of Medical Sciences and Research (NIMS & R). Results: We found persistent left superior vena cava in two cadavers out of 30 cadavers (6.66%) one was 64-year-old male cadaver and another 72-year-old male cadaver. Both the vena cavae were formed as of brachiocephalic veins of the corresponding side. The persistent left superior vena cava opened into the enlarged coronary sinus that drained into the right atrium between the opening of inferior vena cava and right atrio-ventricular orifice. Conclusion: It has important clinical implications in certain clinical interventions. It may complicate placementof cardiac catheters or pacemaker leads.

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