There is a persistent number of patients commencing chronic haemodialysis with tunneled cuffed catheter. Usually, the right internal jugular vein (IJV) is the preferred initial location of consideration for percutaneous insertion. In special situation, catheterization of the left IJV is also a second best in patients with history of multiple access failures. In this report, we present two rare cases of malposition occurring after left IJV catheterization, while following catheter adjustments provide good outcomes with the help of chest radiographs. To our knowledge, the cases exemplify uncommon complications during the left IJV catheterization with few reports in the published literature.