Congenital anomalies of superior vena cava and their implications in central venous catheterization

The Journal of Vascular Access
Umberto G RossiMaurizio Cariati

Abstract

Congenital anomalies of superior vena cava (SVC) are generally discovered incidentally during central venous catheter (CVC) insertion, pacemaker electrode placement, and cardiopulmonary bypass surgery. Persistent left SVC (PLSVC) is a rare (0.3%) anomaly in healthy subjects, usually asymptomatic, but when present and undiagnosed, it may be associated with difficulties and complications of CVC placement. In individuals with congenital heart anomalies, its prevalence may be up to 10 times higher than in the general population.In this perspective, awareness of the importance of the incidental finding of PLSV during CVC placement is crucial. To improve knowledge of this rare but potentially dangerous condition, we describe the embryological origin of SVC, its normal anatomy, and possible congenital anomalies of the venous system and of the heart, including the presence of a right to left cardiac shunt. Diagnosis of PLSVC as well as the clinical complications and technical impact of SVC congenital anomalies for CVC placement are emphasized.

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Citations

Feb 12, 2017·Anesthesiology·Ranjit DeshpandeViji Kurup
Mar 28, 2017·Anesthesiology·Danielle S ShafiepourKaren M McRae
Jan 7, 2017·The Journal of Vascular Access·Salvatore MandolfoTullia Resasco
Apr 9, 2016·The Journal of Vascular Access·Qiao ZhouGabriel Werder
Aug 5, 2017·The Journal of Vascular Access·Lorenzo Carlo Pescatori, Giovanni De Caro
Aug 5, 2017·The Journal of Vascular Access·Umberto G RossiMaurizio Cariati
May 10, 2017·The Journal of Vascular Access·Umberto G RossiMaurizio Cariati
May 10, 2017·The Journal of Vascular Access·Francesco Petrocelli, Giovanni De Caro
Feb 7, 2017·The Journal of Vascular Access·Umberto G RossiMaurizio Cariati
Feb 7, 2017·The Journal of Vascular Access·Lorenzo Carlo Pescatori, Gianpaolo Carrafiello
Jul 10, 2018·BMJ Case Reports·Minakshi BoodhunWan Syamimee Wan Ghazali
May 11, 2018·Oxford Medical Case Reports·Carlos Manuel Aboitiz-RiveraMariana Yazmin Parra-Pérez
Nov 17, 2020·The British Journal of Radiology·Mansi VermaSivasubramaniam Ramakrishnan
Mar 16, 2021·Seminars in Cardiothoracic and Vascular Anesthesia·Michael S Trostler, Raymond M Planinsic
May 4, 2021·Clinical Case Reports·Mohamed Amine Rahil, Messaoud Hadjmhamed
Jun 1, 2021·Jornal brasileiro de nefrologia : ʹorgão oficial de Sociedades Brasileira e Latino-Americana de Nefrologia·Afonso SantosKarina Soto

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