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Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report

RATIONALE: A persistent left superior vena cava (PLSVC) is rare, but the most common thoracic venous anomaly. We report a case of PLSVC unrecognized during left subclavian vein catheterization using real-time ultrasound-guided supraclavicular approach. PATIENT CONCERNS: A 79-year-old man with histor...

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Autores principales: Park, Sun Young, Yoo, Jae Hwa, Kim, Mun Gyu, Kim, Sang Ho, Park, Byoung-Won, Oh, Hong Chul, Kim, Hojoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5428591/
https://www.ncbi.nlm.nih.gov/pubmed/28489757
http://dx.doi.org/10.1097/MD.0000000000006803
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author Park, Sun Young
Yoo, Jae Hwa
Kim, Mun Gyu
Kim, Sang Ho
Park, Byoung-Won
Oh, Hong Chul
Kim, Hojoon
author_facet Park, Sun Young
Yoo, Jae Hwa
Kim, Mun Gyu
Kim, Sang Ho
Park, Byoung-Won
Oh, Hong Chul
Kim, Hojoon
author_sort Park, Sun Young
collection PubMed
description RATIONALE: A persistent left superior vena cava (PLSVC) is rare, but the most common thoracic venous anomaly. We report a case of PLSVC unrecognized during left subclavian vein catheterization using real-time ultrasound-guided supraclavicular approach. PATIENT CONCERNS: A 79-year-old man with history of hypertension presented with traumatic subdural hemorrhage, subarachnoid hemorrhage, and epidural hemorrhage. Before the operation, a central venous catheter (CVC) was placed into the left subclavian vein. DIAGNOSES: A dilated coronary sinus on echocardiogram and subsequent agitated saline test confirmed the diagnosis of PLSVC. INTERVENTIONS: A CVC was placed into the left subclavian vein under real-time ultrasound guide, with supraclavicular approach. A postoperative chest X-ray revealed a left-sided paramediastinal course of the CVC; the CVC was removed under the impression of malposition. OUTCOMES: The CVC functioned properly. LESSONS: Ultrasound is used for safe and correct placement of CVC; however, the presence of PLSVC could not be detected by ultrasonography in this case. When the chest radiograph shows the central venous catheter passing along the border of the left heart and a dilated coronary sinus detected on echocardiogram, we should have suspicion of a PLSVC.
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spelling pubmed-54285912017-05-17 Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report Park, Sun Young Yoo, Jae Hwa Kim, Mun Gyu Kim, Sang Ho Park, Byoung-Won Oh, Hong Chul Kim, Hojoon Medicine (Baltimore) 3300 RATIONALE: A persistent left superior vena cava (PLSVC) is rare, but the most common thoracic venous anomaly. We report a case of PLSVC unrecognized during left subclavian vein catheterization using real-time ultrasound-guided supraclavicular approach. PATIENT CONCERNS: A 79-year-old man with history of hypertension presented with traumatic subdural hemorrhage, subarachnoid hemorrhage, and epidural hemorrhage. Before the operation, a central venous catheter (CVC) was placed into the left subclavian vein. DIAGNOSES: A dilated coronary sinus on echocardiogram and subsequent agitated saline test confirmed the diagnosis of PLSVC. INTERVENTIONS: A CVC was placed into the left subclavian vein under real-time ultrasound guide, with supraclavicular approach. A postoperative chest X-ray revealed a left-sided paramediastinal course of the CVC; the CVC was removed under the impression of malposition. OUTCOMES: The CVC functioned properly. LESSONS: Ultrasound is used for safe and correct placement of CVC; however, the presence of PLSVC could not be detected by ultrasonography in this case. When the chest radiograph shows the central venous catheter passing along the border of the left heart and a dilated coronary sinus detected on echocardiogram, we should have suspicion of a PLSVC. Wolters Kluwer Health 2017-05-12 /pmc/articles/PMC5428591/ /pubmed/28489757 http://dx.doi.org/10.1097/MD.0000000000006803 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 3300
Park, Sun Young
Yoo, Jae Hwa
Kim, Mun Gyu
Kim, Sang Ho
Park, Byoung-Won
Oh, Hong Chul
Kim, Hojoon
Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report
title Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report
title_full Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report
title_fullStr Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report
title_full_unstemmed Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report
title_short Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: A case report
title_sort ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava: a case report
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5428591/
https://www.ncbi.nlm.nih.gov/pubmed/28489757
http://dx.doi.org/10.1097/MD.0000000000006803
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