Case Report

Persistent Left Superior Vena Cava: An Intensivist's Experience and Review of the Literature

Authors: Rajit Pahwa, MD, Anand Kumar, MD

Abstract

Persistent left superior vena cava is a relatively rare vascular anomaly. It is, however, the most common variation in the thoracic venous system. The anomaly is typically detected on chest x-ray after the placement of a pulmonary artery catheter or pacemaker leads. This report describes a case of persistent left superior vena cava detected after successful placement of a pulmonary artery catheter.

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References

References 1. Buirski G, Jordan SC, Joffe HS, Wilde P. Superior vena caval abnormalities: Their occurrence rate, associated cardiac abnormalities and angiographic classification in a paediatric population with congenital heart disease. Clin Radiol 1986; 37: 131–138.BuirskiG]]JordanSC]]JoffeHS]]WildePSuperior vena caval abnormalities: Their occurrence rate, associated cardiac abnormalities and angiographic classification in a paediatric population with congenital heart diseaseClin Radiol198637131 2. Lucas RV Jr, Krabill KA. Abnormal systemic venous connections, in Emmanouilides GC, Riemenschneider TA, Allen HD, et al (eds): Moss and Adams Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult. Baltimore, Williams & Wilkins, 1995, ed 5, pp 874–878. 3. Huang SK. Persistent left superior vena cava in a man with ventricular fibrillation. Chest 1986; 89: 155–157.HuangSKPersistent left superior vena cava in a man with ventricular fibrillationChest198689155 4. Wood PH. Diseases of the Heart and Circulation. Philadelphia, J.B. Lippincott, 1956, ed 2, p 457. 5. Hancock EW. Coronary sinus rhythm in sinus venosus defect and persistent superior vena cava. Am J Cardiol 1964; 14: 608–615.HancockEWCoronary sinus rhythm in sinus venosus defect and persistent superior vena cavaAm J Cardiol196414608 6. Momma K, Linde LM. Abnormal rhythm associated with persistent superior vena cava. Pediatr Res 1969; 3: 210–216.MommaK]]LindeLMAbnormal rhythm associated with persistent superior vena cavaPediatr Res19693210 7. Horrow JC, Lingaraju N. Unexpected persistent left superior vena cava: Diagnostic clues during monitoring. J Cardiothorac Anesth 1989; 3: 611–615.HorrowJC]]LingarajuNUnexpected persistent left superior vena cava: Diagnostic clues during monitoringJ Cardiothorac Anesth19893611 8. Cha EM, Khoury GH. Persistent superior vena cava: Radiologic and clinical significance. Radiology 1972; 103: 375–381. Persistent left superior vena cava is a relatively rare vascular anomaly. It is the most common variation in the thoracic venous system. The anomaly is typically detected on chest x-ray after the placement of a pulmonary artery catheter or pacemaker leads. This report describes a case of persistent left superior vena cava detected after successful placement of a pulmonary artery catheter.ChaEM]]KhouryGHPersistent superior vena cava: Radiologic and clinical significanceRadiology1972103375