Document Detail


SLOW CONTINUOUS ULTRAFILTRATION IN A PATIENT WITH ANOMALY OF A PERSISTENT LEFT SUPERIOR VENA CAVA.
MedLine Citation:
PMID:  22449136     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
This paper describes an uncommon case of a patient with anomaly of a persistent left superior vena cava (PLSVC). A 54-year-old man with a history of chronic kidney disease, heart failure, diabetes mellitus and hypertension was admitted to the hospital for worsening dyspnoea. During his hospital stay, heart failure was further deteriorated and he became anuric. Renal replacement therapy was then required. After multiple unsuccessful attempts of right subclavian vein catheterisation, a catheter was placed in the left subclavian vein. Chest X-ray revealed the catheter in the left side of the thorax. Transthoracic cardiac ultrasound with agitated saline and chest MRI confirmed the diagnosis of PLSVC. The patient had nine sessions of slow continuous ultrafiltration. His heart and renal function were gradually improved. Nephrologists and health care professionals must be aware of this uncommon anatomic variant. Unnecessary manipulations can lead to serious complications, such as cardiac arrhythmias, cardiac arrest and venous sinus thrombosis.
Authors:
Georgios Aperis; Christos Paliouras; Nikitas Moschos; Eirini Tsampikaki; Polichronis Alivanis
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-27
Journal Detail:
Title:  Journal of renal care     Volume:  -     ISSN:  1755-6686     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392167     Medline TA:  J Ren Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 European Dialysis and Transplant Nurses Association/European Renal Care Association.
Affiliation:
Nephrology Department, General Hospital of Rhodes, Rhodes, Greece Cardiology Department, General Hospital of Rhodes, Rhodes, Greece.
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