Document Detail


Catheterization of a persistent left superior vena cava.
MedLine Citation:
PMID:  19670178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patency of the left superior vena cava (persistent left superior vena cava--PLSVC), although uncommon, is the most frequent anomaly of the thoracic vessels. It has been diagnosed in 0.3-0.5% of the general population. PLSVC results from the abnormal persistence of an embryological vessel that normally involutes into the coronary sinus during fetal life. Catheterization of this vessel, including hemodialysis (HD) catheter placement, appears to be safe if adequate drainage of the PLSVC to the right atrium exists. We present the case of a 50-year-old HD patient in which the placement of a catheter through the left internal jugular vein, needed for HD treatment, revealed a PLSVC. After the demonstration of adequate draining of the vessel into the right atrium, replacement of this catheter for a cuffed tunneled HD catheter was done, which has since been used successfully for HD.
Authors:
Lúcia F Parreira; Carlos C Lucas; Célia C Gil; José D Barata
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  10     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2009 Jul-Sep
Date Detail:
Created Date:  2009-08-11     Completed Date:  2009-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  214-5     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Hospital de Santa Cruz, Carnaxide, Portugal. lhfparreira@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous* / instrumentation
Catheters, Indwelling
Heart Atria / radiography
Humans
Incidental Findings
Middle Aged
Phlebography
Renal Dialysis*
Vascular Malformations / diagnosis*,  radiography
Vena Cava, Superior / abnormalities*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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