Cannulation of a persistent left superior vena cava or a pericardiophrenic vein?

Verniquet, Andrew; Kakel, Rafid

doi:10.1007/s12630-011-9631-2

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…There was a debate regarding whether the cannulation was in the persistent left superior vena cava or the pericardiophrenic vein in a liver transplant patient [13]. We agree with the suggestions by Verniquet et al [14] of the possibilities of having cannulated the left pericardiophrenic vein, as with our case.…”

Section: Discussionsupporting

confidence: 87%

Unusual venous route of pulmonary artery catheter in a liver transplant recipient: pericardiophrenic or highest intercostal vein?: a case report

Park

Sim

Lee

et al. 2014

Korean J Anesthesiol

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We report an extraordinary case in which the venous route for pulmonary artery catheterization was unusual. A 41 year-old woman with an end-stage liver disease underwent a living-donor liver transplantation. After induction of anesthesia, the pulmonary artery catheter was revealed to be advanced into the left brachiocephalic vein and then slipped into another vein that drains into the left brachiocephalic vein. In this case, we assumed that the catheter had most likely slipped into the left pericardiophrenic vein since the catheter follows the left heart border similarly to the route of this vein according to the chest X-ray. Patients with liver cirrhosis develop many collateral vessels and have enlarged veins due to portal hypertension, which makes this vascular route possible. We present this case for anesthesiologists to be aware of the possibilities of unusual venous route due to dilated collateral vessels especially in liver transplant patients.

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Section: Discussionsupporting

confidence: 87%

Unusual venous route of pulmonary artery catheter in a liver transplant recipient: pericardiophrenic or highest intercostal vein?: a case report

Park

Sim

Lee

et al. 2014

Korean J Anesthesiol

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“…Although they both are located in the middle mediastinum and connected with left brachiocephalic vein cranially, their caudal courses differ in CT imaging. While the caudal end of PLSVC is either the coronary sinus or the left atrium, the left pericardiophrenic vein moves toward the diaphragm lateral to the heart when it is followed from top to bottom [35,36].…”

Section: Pericardiophrenic Veinmentioning

confidence: 99%

Persistent left superior vena cava: clinical importance and differential diagnoses

et al. 2020

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Persistent left superior vena cava (PLSVC) is the most common thoracic venous anomaly and may be a component of the complex cardiac pathologies. While it is often asymptomatic, it can lead to significant problems such as arrhythmias and cyanosis. Besides, it can cause serious complications during vascular interventional procedures or the surgical treatment of cardiac anomalies (CA). The clinical significance of PLSVC depends on the drainage site and the accompanying CA. In this article, we will describe the epidemiology, embryology, and anatomic variations of PLSVC. Possible accompanying CA and heterotaxy spectrum will be reviewed with the help of multidetector computed tomography (MDCT) images. Radiological pitfalls, differential diagnoses, and the clinical importance of PLSVC will be highlighted.

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“…Thoracic systemic venous anomalies may be suspected/ diagnosed by different imaging modalities [11][12][13][14][15][16][17][18][19] including echocardiography [20][21][22][23] and best detected with computed tomography (CT) angiography [24][25][26][27][28][29][30] or magnetic resonance (MR) angiography [31][32][33][34][35][36][37][38][39].…”

Section: Computed Tomography and Magnetic Resonance Imaging Techniquesmentioning

confidence: 99%

“…Superiorly, both veins are located on the left side of the mediastinum lateral to the aortic arch and connected to the left brachiocephalic vein. They can be distinguished by following their course inferiorly, whereas a persistent left SVC connects to the coronary sinus or directly into the left atrium, while left pericardiophrenic vein descends toward the diaphragm [30].…”

Section: Direct Drainage Into the Left Atriummentioning

confidence: 99%

Computed tomography and magnetic resonance imaging of congenital thoracic systemic venous anomalies

et al. 2023

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We present the imaging findings of thoracic systemic venous anomalies diagnosed by computed tomography and magnetic resonance imaging. Persistent left superior vena cava is the commonest anomaly of the thoracic systemic veins encountered either incidentally as an isolated finding or associated with congenital heart disease. Inferior vena cava (IVC) interruption with azygos continuation is the second most common anomaly, which may also be isolated or be associated with left isomerism syndrome. The article will also discuss other rarer systemic venous anomalies including retroaortic brachiocephalic vein and IVC drainage into the left atrium. Finally, the impact of pre-procedure reporting of thoracic systemic venous anomalies on the choice of intervention and patient outcome will be addressed.

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Cannulation of a persistent left superior vena cava or a pericardiophrenic vein?

Cited by 4 publications

References 6 publications

Unusual venous route of pulmonary artery catheter in a liver transplant recipient: pericardiophrenic or highest intercostal vein?: a case report

Unusual venous route of pulmonary artery catheter in a liver transplant recipient: pericardiophrenic or highest intercostal vein?: a case report

Persistent left superior vena cava: clinical importance and differential diagnoses

Computed tomography and magnetic resonance imaging of congenital thoracic systemic venous anomalies

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