medigraphic.com

2003, Number 4

<< Back Next >>

Cir Cir 2003; 71 (4)

Persistent left superior vena cava: Infrequent localization of central venous catheter

Carrillo-Esper R, Contreras-Domínguez V, Salmerón-Nájera P, Carvajal-Ramos R, Hernández-Aguilar C, Juárez-Uribe A

Language: Spanish
References: 37
Page: 319-323
PDF size: 62.59 Kb.


ABSTRACT

Objective: Our objective was to report a Persistent Left Superior Vena Cava in a critically ill patient. Design: Case report. Place: Intensive care unit of a referral center. Patient: A 52 years-old male without previous cardiovascular disease was admitted to the intensive care unit due to cranial trauma. A central left subclavian vein catheter was placed at his arrival at the center chest X-ray showed the catheter in the left of the cardiac silhohuete without hemo-pneumothorax. A angiographic evaluation through central venous catheter showed persistent left superior vena cava draining to the coronary sinus and right atrium with normal permeability of right superior vena cava. Other congenital alterations were excluded. Chest computed tomography confirmed the diagnosis. Persistent left superior vena cava is a congenital vascular abnormality. The intensive care unit staff must be aware of this vascular abnormality because it can complicate central venous catheterization.


REFERENCES

  1. Bowdle TA. Complications of invasive monitoring. Anesth Clin North Am 2002;20:333-350.

  2. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003;348:1123-1133.

  3. Bowdle TA. Complications from placement of central venous catheters: importance of the chest X-ray. American Society of Anesthesiologists. Newsletter 1996;60:22-25.

  4. Scott WL. Central venous catheters: an overview of food and drug administration activities. Surg Oncol Clin North Am 1995;4:377-393.

  5. Trigaux JP, Goncette L, Van Beers B, et al. Radiologic findings of normal and compromised thoracic venous catheters. J Thorac Imaging 1994;9:246-254.

  6. Shah KB, Rao TL, Laughlin S, El-Etr AA. A review of pulmonary artery catheterization in 6,245 patients. Anesthesiology 1984;61: 271-275.

  7. Singleton RJ, Webb RK, Ludbrook GL, Fox MA. Problems associated with vascular access: an analysis of 2000 incident reports. Anaesth Intens Care 1993;21:664-669.

  8. Conces DJ Jr, Holden RW. Aberrant locations and complications in initial placement of subclavian vein catheters. Arch Surg 1984;119: 293-295.

  9. Fraser RS, Dvorkin J, Rosall RE, Eidem R. Left superior vena cava: a review of associated congenital heart lesions, catheterization data and roenterologic findings. Am J Med 1961;31:711-716.

  10. Cha EM, Khoury GH. Persistent left superior vena cava. Radiologic and clinical significance. Radiology 1972;103:375-381.

  11. Campbell M, Deuchar D. The left-sided superior vena cava. Cr Heart 1954;16:423.

  12. Sarodia BD, Stoller JK. Persistent left superior vena cava: a case report and literature review. Resp Care 2000;45:411-416.

  13. Robert M, Freedom, et al. Persistence of the left superior vena cava and relates anomalies. In: Congenital heart disease: textbook of angiocardiography. Futura Publishing Company; 1997: pp. 299-303.

  14. Ferrer GC, Silla IA, Guillén VR, Mataix BJ, et al. Vena cava superior izquierda persistente: una localización infrecuente del catéter venoso central. Rev Esp Anest Reanim 2001;48:97-100.

  15. Kinoshita N. Fortuitously discovered persistent left superior vena cava in young competitive athletes. Clinical implications of sports physicians. Sports Med Phys Fitness 2001;41:275-277.

  16. De la Prada FJ, Sastre M, Forteza JF, et al. Persistencia de la vena cava superior izquierda descubierta durante la implantación de catéter para hemodiálisis. Nefrología 2002;22:199-201.

  17. Kim YO, Choi EJ, Jeon HK, et al. Persistent left superior vena cava detected by hemodialysis catheterization. Nephron 1999;83:87-88.

  18. Azocar RJ, Narang P, Talmor D, et al. Persistent left superior vena cava identified after cannulation of the right subclavian vein. Anesth Analg 2002;95:305-307.

  19. Ramírez HF, Milani AP, Dubner SJ, et al. Implante de marcapasos bicameral con vena cava superior izquierda persistente. Rev Argent Cardiol 2002;70:214-217.

  20. Duffy SJ, Alison JF. Permanent pacemaker implantation via a persistent left superior vena cava. Clin Cardiol 2001;24:526.

  21. Marrret E, Meunier JF, Dubousser AM, et al. Diagnosis of persistent left superior vena cava in the operating room during a central venous catheterization. Ann Fr Anesth Reanim 2000;19:191-194.

  22. Ould-Ahmed M, Mas B, Hautbois E, et al. Unusual course of a pulmonary artery catheter through a persistent superior vena cava. Ann Fr Anesth Reanim 2000;19:745-748.

  23. Higgs AG, Paris S, Potter F. Discovery of left-sided superior vena cava during central venous catheterization. Anaesthesia 1998;81:260-261.

  24. Huang YL, Wu MT, Pan HB, Yang CF. Aberrant course of Swan-Ganz catheter revealing persistent left superior vena cava. Chung-Hua I Hsueh Tsa Chih 2002;65:403-406.

  25. Masuda Y, Imaizumi H, Satoh M, et, al. Persistent left-superior vena cava diagnosed after flow-directed pulmonary artery catheterization: report of a case. Masui 2001;50:1109-1112.

  26. Greenberg M, Raggio C. Antecubital central venous catheter placement complicated by persistent left superior vena cava. J Neurosurg Anesthesiol 2000;12:114-117.

  27. Weiss C, Cappato R, Willems S, et al. Prospective evaluation of the coronary sinus anatomy in patients undergoing electrophysiology study. Clin Cardiol 1999;22:537-543.

  28. Orwitz S, Esquivel J, Attie F, Lupi E, Espino-Vela J. Clinical diagnosis of persistent left superior vena cava by observation of jugular pulses. Am Heart J 1973;86:756-763.

  29. Lönnqvist PA, Olsson GL. Persistent left superior vena cava an unusual location of central venous catheters in children. Intens Care Med 1991;17:497-500.

  30. Gentili DR, Onofrey D, Gabrielson G, et al. Malposition of central venous catheters outside the central circulation. J Cardiothorac Anesth 1989;3:752-756.

  31. Pandey JC, Dubey PK. A method for rapid clinical diagnosis of misplaced subclavian vein catheters. Anesth Analg 2000;90:229.

  32. Batista-Villareal E, Criales JL. Vena cava superior izquierda persistente. Hallazgo incidental en tomografía computada helicoidal. Gac Med Mex 2001;137:87-88.

  33. Zellers TM, Hagler DJ, Julsrud PR. Accuracy of two-dimensional echocardiography in diagnosing left superior vena cava. J Am Soc Echocardiogr 1989;2:132-138.

  34. Schummer W. Differential diagnosis of left-sided thoracic venous catheters: case report of a persistent left superior vena cava. Anaesthetist 2002;51:726-730.

  35. Pollard A. Assessment of correct central venous line placement. Anaesthesist 2002;57:1223.

  36. Leibowitz AB, Halpern NA, Lee MH, et al. Left-sided superior vena cava: a not so unusual vascular anomaly discovered during central venous and pulmonary artery catheterization. Crit Care Med 1992;20:1119-1122.

  37. Hsiao HC, Kong CW, Wang JJ, et al. Right ventricular electrode lead implantation via persistent left superior vena cava. An improved technique. Angiology 1997;48:919-923.




2020     |     www.medigraphic.com