Persistent Left Superior Vena Cava (PLSVC) with a Connection to the Azygos System: Case Report and Clinical Implications

Persistent left superior vena cava (PLSVC) is a rare anatomic variant that has a significant effect on the structure of the heart and venous system with clinical implications that are far-reaching. The presence of this variant is relevant to central venous catheter insertion, cardioverter-defibrilla...

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Bibliographic Details
Published in:Case reports in anesthesiology 2019, Vol.2019 (2019), p.1-4
Main Authors: Koci, Micaela M., Beutler, Bryce D., Moody, Catriona E., Moody, Alastair E.
Format: Article
Language:English
Subjects:
Cardiac patients
Case Report
Case reports
Catheters
Coronary artery bypass
Heart
Intubation
NMR
Nuclear magnetic resonance
Patients
Ultrasonic imaging
Veins & arteries
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Summary:Persistent left superior vena cava (PLSVC) is a rare anatomic variant that has a significant effect on the structure of the heart and venous system with clinical implications that are far-reaching. The presence of this variant is relevant to central venous catheter insertion, cardioverter-defibrillator placement, coronary artery bypass grafting, and numerous other medical procedures. In this report, we describe a rare case of PLSVC with a connection to the azygos system; notably, the vast majority of PLSVCs connect to the coronary sinus. We also discuss the anatomic and anesthetic considerations for individuals with this uncommon variant.
ISSN:2090-6382
2090-6390
DOI:10.1155/2019/5390272