Persistent left superior vena cava with partial anomalous venous return in a liver transplant patient

Summary Insertion of central venous catheters is commonly performed on critically ill patients. Successful placement requires knowledge of vascular anatomy, but vascular anomalies may pose difficulties during insertion and confirmation of catheter position. This report describes the incidental disco...

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Bibliographic Details
Published in:Anaesthesia reports 2020-07, Vol.8 (2), p.107-110
Main Authors: Milam, A. J., Tou, E., Lam, P., Wachsman, A. M., Gereboff, A.
Format: Article
Language:English
Subjects:
Case Report
Case Reports
central venous catheter
central venous pressure wave forms
liver transplant
persistent left superior vena cava
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Summary:Summary Insertion of central venous catheters is commonly performed on critically ill patients. Successful placement requires knowledge of vascular anatomy, but vascular anomalies may pose difficulties during insertion and confirmation of catheter position. This report describes the incidental discovery of a persistent left superior vena cava emptying into a pulmonary vein with partial anomalous pulmonary venous return to the left innominate vein and ultimately into the right superior vena cava, after placement of a left internal jugular central line in a patient presenting for liver transplant. We discuss the clinical implications of persistent left superior vena cava and the steps we took to evaluate catheter position.
ISSN:2637-3726
2637-3726
DOI:10.1002/anr3.12062