Puebla CJG, Carvajal RR, Monjardín RJA, Béjar CR

Language: Spanish
References: 19
Page: 53-56
PDF size: 168.20 Kb.

ABSTRACT

Objective: The presentation of a patient with left superior vena cava and a review of pertinent medical literature. Design: Case report. Place: Intensive care unit from the Sonora State General Hospital «Dr. Ernesto Ramos Bours». Patient: Fifty-two years old female from the Yaqui tribe with antecedent of systemic arterial hypertension who gets into the intensive care unit because of severe pneumonia. A left subclavian catheter was placed and in the radiographic control the tip of the catheter was observed in the left cardiac side, without other complications. A phlebography and a tomography showed the presence of a persistent left superior vena cava which drains into the right atria. An echocardiography didn´t show any other congenital abnormalities. This vascular malformation is a relatively common anatomic variation, but it is infra-diagnosed. We consider that the knowledge of this congenital abnormality is of special concern to the medical trainees from all the specialties because it can show itself like a complication of the placement of a central venous access.

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