Pulmonary artery catheter placement and temporary cardiac pacing in a patient with a persistent left superior vena cava

Schelling, G.; Briegel, Josef; Eichinger, Katy; Raum, William J.; Forst, H.

doi:10.1007/bf01690781

Cited by 19 publications

(16 citation statements)

References 5 publications

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“…Although PLSVC is usually not associated with any negative hemodynamic effect, it is important to be aware of its existence, since it may cause problems in central venous catheterization (the manipulation of the CS has resulted in hypotension, angina and cardiac arrest), 20 pacemaker implantation (because of the anomalous direction of electrodes), 7,8 or cardiopulmonary bypass (if the RSVC is absent, the presence of PLSVC precludes the use of retrograde cardioplegia because all venous returning from the upper body will drain via it) 21 . Moreover, PLSVC can be associated with structural abnormalities of sinus node, AV node or His bundle 22–24 .…”

Section: Discussionmentioning

confidence: 99%

Persistent Left‐Sided Superior Vena Cava: Integrated Noninvasive Diagnosis

Recupero¹,

Pugliatti²,

Rizzo³

et al. 2007

Echocardiography

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Section: Discussionmentioning

confidence: 99%

Persistent Left‐Sided Superior Vena Cava: Integrated Noninvasive Diagnosis

Recupero¹,

Pugliatti²,

Rizzo³

et al. 2007

Echocardiography

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“…Those papers in the literature that have specifically addressed the incidental finding of PLSVC at the time of placement of some sort of central venous access device or some sort of central venous monitoring device [38,42,44-123] have generally been directed towards physicians practicing anesthesia [47,48,52,55,58-60,62,64,65,68-71,73,78,85,88,91,92,94,102,117,120,123], critical care [45,46,49-51,53,56,57,72,77,79,83,106,109,110,114,116,119,122], and nephrology [54,66,74,76,80,87,95,96,100,103,104,107,108,113,118]. Despite the fact that a plethora of papers have been published on various aspects of PLSVC and despite there being multiple case reports describing the incidental finding of PLSVC at the time of central venous device placement, there has been very little in the literature specifically directed toward the potential importance of the incidental finding of PLSVC to surgeons, interventional radiologists, and other physicians who are actively involved in central venous access device placement in cancer patients [61,81,82,84,111].…”

Section: Reviewmentioning

confidence: 99%

Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

2011

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Persistent left superior vena cava (PLSVC) represents the most common congenital venous anomaly of the thoracic systemic venous return, occurring in 0.3% to 0.5% of individuals in the general population, and in up to 12% of individuals with other documented congential heart abnormalities. In this regard, there is very little in the literature that specifically addresses the potential importance of the incidental finding of PLSVC to surgeons, interventional radiologists, and other physicians actively involved in central venous access device placement in cancer patients. In the current review, we have attempted to comprehensively evaluate the available literature regarding PLSVC. Additionally, we have discussed the clinical implications and relevance of such congenital aberrancies, as well as of treatment-induced or disease-induced alterations in the anatomy of the thoracic central venous system, as they pertain to the general principles of successful placement of central venous access devices in cancer patients. Specifically regarding PLSVC, it is critical to recognize its presence during attempted central venous access device placement and to fully characterize the pattern of cardiac venous return (i.e., to the right atrium or to the left atrium) in any patient suspected of PLSVC prior to initiation of use of their central venous access device.

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“…[3] Complications of lead placement via PLSVC are relatively rare and include arrhythmia, cardiogenic shock, cardiac tamponade, and coronary sinus thrombosis. [4]…”

Section: Discussionmentioning

confidence: 99%

Vena Caval Anomalies

Francis

Rajakulasingam

2013

Journal of Clinical Imaging Science

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Anomalous vena cavae can have significant implications for procedures on the right side of the heart. We report a rare anatomical configuration in a 44-year-old female, which to the best of our knowledge, is the first report of such an association. She had a bicuspid aortic valve in conjunction with a persistent left superior vena cava (PLSVC) draining into the coronary sinus, and a left-sided inferior vena cava (IVC) draining into a left superior vena cava via the hemiazygos vein. Comprehensive assessment of these anomalies is crucial given the widespread use of invasive cardiac procedures.

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Pulmonary artery catheter placement and temporary cardiac pacing in a patient with a persistent left superior vena cava

Cited by 19 publications

References 5 publications

Persistent Left‐Sided Superior Vena Cava: Integrated Noninvasive Diagnosis

Persistent Left‐Sided Superior Vena Cava: Integrated Noninvasive Diagnosis

Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

Vena Caval Anomalies

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