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Persistent left superior vena cava: what the interventional nephrologist needs to know.
- Source :
-
The journal of vascular access [J Vasc Access] 2009 Jul-Sep; Vol. 10 (3), pp. 207-11. - Publication Year :
- 2009
-
Abstract
- Variations in the course of the blood vessels are often incidental findings during clinical examination. Persistent left superior vena cava (PLSVC) is an uncommon anomaly, estimated to be present in about 0.3-0.5% of healthy individuals and in about 3-10% of patients with congenital heart disease. It results from the failure of the left anterior cardinal vein to degenerate during embryological development. Serious complications such as shock, angina and cardiac arrest have been described during catheterization in adults with a PLSVC. Since it frequently goes undiagnosed because of lack of symptoms when not accompanied by other anomalies, variations of the superior vena cava should be considered, especially when central venous catheterization via the subclavian or internal jugular vein is difficult. The embryological development, diagnosis, and clinical implications of a PLSVC are therefore reviewed in this article.
- Subjects :
- Aged
Arteriovenous Shunt, Surgical adverse effects
Catheterization, Central Venous adverse effects
Female
Graft Occlusion, Vascular etiology
Heart Atria diagnostic imaging
Humans
Incidental Findings
Kidney Failure, Chronic complications
Tomography, X-Ray Computed
Vascular Malformations diagnostic imaging
Vena Cava, Superior diagnostic imaging
Catheterization, Central Venous instrumentation
Catheters, Indwelling adverse effects
Kidney Failure, Chronic therapy
Renal Dialysis
Vascular Malformations complications
Vena Cava, Superior abnormalities
Subjects
Details
- Language :
- English
- ISSN :
- 1129-7298
- Volume :
- 10
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The journal of vascular access
- Publication Type :
- Academic Journal
- Accession number :
- 19670176
- Full Text :
- https://doi.org/10.1177/112972980901000313