Persistent left superior vena cava: A possible contraindication to chemotherapy and total parenteral nutrition in cancer patients

Iovino, Francesco; Auriemma, Pasquale Pio; Viscovo, Luca Del; Scagliarini, Sara; Napoli, Marilena Di; Vita, Ferdinando De

doi:10.3892/ol.2012.808

Cited by 9 publications

(10 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13,42,43 Of note, about 10% of the PLSVC drains into left atrium, which increases the risk of paradoxical arterial embolism, either from thromboemboli or air embolus. 1,19 Although several reports suggested the feasibility of chemotherapy with a catheter in PLSVC, 12,19,44,45 we should still be prudent, because of the paucity of evidence. In fact, we closely monitor every patient once a PLSVC was identified and venous port inserted.…”

Section: Discussionmentioning

confidence: 99%

“…PLSVC is a well-recognized congenital anomaly of chest venous system. There are numerous reports on central catheters inserted into this vein, including central inserted central catheters (CICCs), 8,12 dialysis catheters, [13][14][15] peripheral inserted central catheters (PICCs), 16,17 and ports. 6,18 The anatomical aspect of this anomaly is described in detail elsewhere 1,19 and is not the main topic of this report.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative identification of persistent left superior vena cava with intracavitary electrocardiogram during venous port insertion: A report of eight cases

Jheengut

Fan

2020

J Vasc Access

View full text Add to dashboard Cite

Persistent left superior vena cava is a rare congenital anomaly, occurring in 0.3% to 0.5% of general population and up to 10% in patients with congenital heart disease. This anomaly is usually discovered incidentally during central venous catheterization from left side. Since 2015, we have identified eight cases of persistent left superior vena cava out of a total of 2637 patients who had left sided venous port insertion in our department. The persistent left superior vena cavae were identified with the aid of intracavitary electrocardiogram. The characteristic finding was an initial negative P-wave (in lead II), followed by a biphasic P-wave pattern during catheter insertion. All the ports worked properly, with a total catheter dwelling time of 2586 days (range: 96–756 days, mean: 323.25 days), and no catheter-related complication was observed. However, because of the paucity of clinical evidence, we should still be prudent in the long-term use of venous ports in persistent left superior vena cava.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intraoperative identification of persistent left superior vena cava with intracavitary electrocardiogram during venous port insertion: A report of eight cases

Jheengut

Fan

2020

J Vasc Access

View full text Add to dashboard Cite

show abstract

“…It is difficult to diagnose on the basis of medical history alone, 3 and physical examination may show distension of the left external jugular vein and/or a heart murmur. 5 A range of cardiac abnormalities affect nearly 40% of people with PLSVC, 10 including associated atrial septal defect, ventricular septal defect, transposition of great vessels, aortic coarctation, and tetralogy of Fallot. 1 …”

Section: Discussionmentioning

confidence: 99%

“… 7 Echocardiography is useful to confirm the presence of a dilated coronary sinus and to rule out variations in the typical aberrant venous route. 10 The electrocardiogram can be used to check for cardiac dysrhythmia, 5 manifested by both bradycardia and tachycardia. 4 In about half of patients, PLSVC plays a significant role in the onset and maintenance of atrial fibrillation.…”

Section: Discussionmentioning

confidence: 99%

Persistent Left Superior Vena Cava Associated with Right Aberrant Subclavian Artery Detected during Totally Implantable Vascular Access Device Insertion

et al. 2022

View full text Add to dashboard Cite

Introduction Persistent left superior vena cava (PLSVC) is a rare vascular malformation, with several cases reported in the English literature. The diagnosis is made incidentally, during cardiovascular imaging or when a catheter is placed in the left jugular or subclavian vein. They are without associated hemodynamic alterations, except if they have left atrial drainage or an associated dilation of the coronary sinus. If necessary, long-term PSLVC catheterization with right atrial drainage is safe. Case Presentation We report the case of 40-year-old man, admitted for placement of totally implantable vascular access device (TIVAD) on the same day of his first chemotherapy. A disease localized to the right neck made it impossible to puncture on the right. During the puncture of the left internal jugular vein, the diagnosis of PLSVC was made. Postoperative investigations confirmed the diagnosis and showed the presence of the right superior vena cava to which it was connected by the left brachiocephalic vein. They also confirmed the drainage of PLSVC into the coronary sinus. In addition, they demonstrated the presence of an associated right aberrant subclavian artery of direct aortic origin. Chemotherapy was administered safely and the port was removed 9 months after insertion without any problem. Conclusion This is one of the rare cases reported in the English literature of PLSVC diagnosed during TIVAD insertion and the first to report an associated vascular malformation. We publish it to encourage physicians to think about this differential diagnosis and to carefully perform the appropriate investigations before using the port.

show abstract

“…9 Cha and Khoury conducted a retrospective study reviewing 275 cardiac angiographs and found 12 cases of PLSVC, of which only two did not have a right superior vena cava. 6 In another study, Iovino et al 10 analyzed 600 patients who had TICs fitted, finding four cases of PLSVC, and in 85% of these cases the puncture site chosen was the left internal jugular vein.…”

Section: Discussionmentioning

confidence: 99%

Veia cava superior esquerda persistente: relato de caso

et al. 2016

View full text Add to dashboard Cite

ResumoO pleno conhecimento da anatomia vascular torácica é de suma importância para os profissionais envolvidos na realização de procedimentos invasivos como a punção de acesso venoso central. A persistência da veia cava superior esquerda é a malformação venosa torácica mais frequente, e seu diagnóstico costuma ser incidental. Apresentamos o caso de uma paciente de 14 anos em que o diagnóstico de veia cava superior esquerda persistente foi incidental em exame de imagem de controle após colocação de cateter venoso totalmente implantável. A paciente não apresentou dificuldade de infusão de quimioterapia pelo cateter e não houve complicações relacionadas ao cateter.

show abstract

Persistent left superior vena cava: A possible contraindication to chemotherapy and total parenteral nutrition in cancer patients

Cited by 9 publications

References 12 publications

Intraoperative identification of persistent left superior vena cava with intracavitary electrocardiogram during venous port insertion: A report of eight cases

Intraoperative identification of persistent left superior vena cava with intracavitary electrocardiogram during venous port insertion: A report of eight cases

Persistent Left Superior Vena Cava Associated with Right Aberrant Subclavian Artery Detected during Totally Implantable Vascular Access Device Insertion

Veia cava superior esquerda persistente: relato de caso

Contact Info

Product

Resources

About