Perforation of Superior Vena Cava and a Right Pleural Effusion Which Occurred Three Days after Central Venous Catheterization through the Left Subclavian Vein: A case report

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.

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Persistent Left Superior Vena Cava: An Incidental Finding During Central Venous Catheterization

Vascular and Endovascular Surgery ◽

10.1177/153857440503900111 ◽

2005 ◽

Vol 39 (1) ◽

pp. 109-111 ◽

Cited By ~ 18

Author(s):

Payman J. Danielpour ◽

Joshua K. Aalberg ◽

Margarita El-Ramey ◽

Manuel Sivina ◽

Henry Wodnicki

Keyword(s):

Superior Vena Cava ◽

Central Venous Catheterization ◽

Incidental Finding ◽

Superior Vena ◽

Vena Cava ◽

Central Venous ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Venous Catheterization

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Evaluation of a central venous catheter tip placement for superior vena cava–subclavian central venous catheterization using a premeasured length

Medicine ◽

10.1097/md.0000000000009600 ◽

2018 ◽

Vol 97 (2) ◽

pp. e9600

Author(s):

Hyun-Jung Kwon ◽

Young-Il Jeong ◽

In-Gu Jun ◽

Young-Jin Moon ◽

Yu-Mi Lee

Keyword(s):

Central Venous Catheter ◽

Superior Vena Cava ◽

Central Venous Catheterization ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Central Venous ◽

Venous Catheterization ◽

Catheter Tip

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

European Journal of Case Reports in Internal Medicine ◽

10.12890/2021_002161 ◽

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.

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