Persistent Left Superior Vena Cava Identified during Peripherally Inserted Central Catheter Line Placement

Persistent left superior vena cava diagnosed during haemodialysis catheter placement - a case report.

The vascular access preparation for this patient was poor due to poor accessibility to surgical service, and his peripheral veins were not good for arterio-venous fistula. He was initiated on haemodialysis with a right sided internal jugular catheter (IJC). The right IJC was removed due to infection. There was previously a documented attempt to insert a left sided IJC in September 2010, however...

Persistent Left Superior Vena Cava

Persistent left superior vena cava

Persistent left superior vena cava (PLSVC) is the most common congenital malformation of thoracic venous return and is present in 0.3 to 0.5% of individuals in the general population. This heart specimen was dissected from a 35-year-old male cadaver whose cause of death was determined as non-cardiac. The heart was examined and we found a PLSVC draining into the coronary sinus. The right superio...

Persistent left superior vena cava complicating pacemaker catheter insertion.

Permanent catheter implantation via a persistent left superior vena cava.

A 48-year-old male with a history of benign nephrosclerosis and chronic haemodialysis for the last 6 years was admitted to our hospital. He was diagnosed with left radial arteriovenous fistula thrombosis. The right internal jugular vein (RIJV) was thrombosed (history of RIJV catheter) as confirmed by Doppler echography. A Dual-Cath (Medcomp) was inserted in the left jugular vein without complic...