Persistent left superior vena cava and absent of right internal jugular vein

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This prompted insertion of a central venous catheter on the left side of the neck in the presence of normal vascular anatomy. A subsequent chest X-ray revealed an abnormal course of the catheter consistent with presence of persistent left superior vena cava” Sonawane et al (2017).

Abstract:

Persistent left superior vena cava is a rare vascular anatomical variant. Although ultrasonography has facilitated the process of central venous catheterization, it cannot be used to locate the tip of a catheter. Postprocedure chest X-ray is desirable for locating the course and tip of the catheter. In our case, initial ultrasonography demonstrated the absence of the right internal jugular vein. This prompted insertion of a central venous catheter on the left side of the neck in the presence of normal vascular anatomy. A subsequent chest X-ray revealed an abnormal course of the catheter consistent with presence of persistent left superior vena cava.

Reference:

Sonawane, N.B., Shah, F.R. and Gawankar, P.J. (2017) Accidental Cannulation of Persistent Left Superior Vena Cava in a Case of Absent Right Internal Jugular Vein: Role of Ultrasonography and X-Ray. A & A Case Reports. March 26th. [Epub ahead of print].

doi: 10.1213/XAA.0000000000000505.

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