Rocha-Rodríguez MG, Garnica-Escamilla MA, Pérez-Hernández F

Language: Spanish
References: 5
Page: 89-91
PDF size: 175.01 Kb.

ABSTRACT

The persistent left superior vena cava (VCIP) is a variable rare vascular anatomy, its incidence is 0.3-0.5% occurs in 1 in every 200-325 people, the majority of asymptomatic cases. The VCIP often is accompanied by other anatomical variants in 80-90% is associated with right superior vena cava in 80-90% VCIP drains into the right atrium through the coronary sinus so it does not cause hemodynamic consequences and 10-20% drains into the left atrium. The problems of this vein cannulation centrally include hypertension, angina, myocardial perforation, tamponade, and cardiac arrest. The VCIP diagnosis must be made with a chest radiograph and a venous gas analysis, another option may MRI and echocardiography angiotomography.

REFERENCES

1. Stephen P, Hooman K. 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. World J Surg Oncol 2011; 9: 173.

2. Marcin K, Robert M, Karthik A. Imaging of persistent left sided superior vena cava with echocardiography and multislicecomputed tomography: Implications for daily practice Cardiology Journal 2011; 3: 332-6.

3. Lacuey LG, Ureña M, Basterra MJ. Vena cava superior persistente, implicaciones en la cateterizacion venosa central. Ans Sist Sanit Navar 2009; 32: 103-6.

4. Özgul U, Pasaoglu L, Cicekcluglu H, Vural M, Kocauglu B. Persistent left superior vena cava with absent right superior vena cava: a case report and review of the literature. Cardiovasc J Afr 2010; 21(3).

5. Wassim H, Katherine R, James R. Persistent left superior vena cava identified during central line placement: a case report. Respir Med CME 2011; 3: 141-3.