Transcatheter Closure of Persistent Left Superior Vena Cava Draining to Pulmonary Vein

Lodhi, Hamza; Morcos, Ramez; Bansal, Priya; Mathews, Adithya; Taii, Haider Al; Maini, Brijeshwar; Khalili, Houman

doi:10.1016/j.jaccas.2020.05.063

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…PLSVC is found incidentally in 75% of cases. 3 It can be identified on chest radiography by local enlargement of the mediastinum superior to the left side of the aortic knob, 12 or during cardiovascular imaging or when a central venous catheter is inserted into the left jugular or subclavian vein. 10 Due to local factors that prevented catheterization or port placement in the right chest, such as breast surgery, radiation therapy, and large metastatic lymph nodes at the root of the right neck, the left side will be chosen.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…13 PLSVC draining into the left atrium can be identified by injecting agitated saline into the patient's left arm and observing the timing of left atrial bubbles. 12 Venography is essential to confirm PLSVC drainage into right atrium prior to catheterization when vascular variant anatomy is detected during the procedure. 5 Thermodilution, 3 paradoxical arterial embolism (by air embolus or thromboembolus), 13 coronary sinus thrombosis, venous stenosis, cardiac arrhythmias, cardiac tamponade, and cardiac arrest have all been reported following PLSVC catheterization.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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“…11 PLSVC is found incidentally in 75% of cases. 3 It can be identified on chest radiography by local enlargement of the mediastinum superior to the left side of the aortic knob, 12 or during cardiovascular imaging or when a central venous catheter is inserted into the left jugular or subclavian vein. 10 Due to local factors that prevented catheterization or port placement in the right chest, such as breast surgery, radiation therapy, and large metastatic lymph nodes at the root of the right neck, the left side will be chosen.…”

Section: Discussionmentioning

confidence: 99%

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2022

Surg J (N Y)

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Many physicians involved in the treatment of cancer patients, including surgeons, interventional radiologists, and other specialists, routinely use central venous access devices, 1 and they are used to treat a wide range of medical conditions. The administration of drug as chemotherapy, total parenteral nutrition, and poor peripheral venous access are just a few examples. 2 The central venous catheter should be placed over the right ventricle in the superior vena cava (SVC). Due to the rapid flow at this level, thrombogenicity is minimized. 3

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Transcatheter Closure of Persistent Left Superior Vena Cava Draining to Pulmonary Vein

Cited by 2 publications

References 9 publications

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

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

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