Persistence of the left superior vena cava as an incidental finding in left internal jugular vein cannulation

Correa Barrera, J.J.; Gómez del Pulgar Vázquez, B.; Sánchez Zamora, P.; Alonso Rodríguez, E.

doi:10.1016/j.redare.2021.09.008

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"apellidos" => "Alonso Rodríguez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Persistencia de vena cava superior como hallazgo incidental en la canalización de la vena yugular interna izquierda" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 822 "Ancho" => 1305 "Tamanyo" => 108341 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0095" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "a) Posteroanterior chest X-ray: the catheter is observed in the part corresponding to the mediastinum and left cardiovascular silhouette. b) Control X-ray: the catheter can be seen in the cephalic direction, introduced into the left external jugular vein. c) CT with axial reconstruction sequences demonstrating the presence and distribution of contrast from the persistent left superior vena cava towards the right atrium." ] ] ] "textoCompleto" => "Patient in whom, after accidental removal of the right internal jugular central venous line, it was decided to cannulate the left internal jugular vein. In the control X-ray, the catheter was observed to be located on the left side of the mediastinum at the level of the cardiovascular silhouette. Cannulation of the internal mammary artery was suggested, and we decided to approach the internal jugular vein, leaving the first catheter to force the passage to the right. However, after radiological control, it was observed that the catheter was directed cephalad through the external jugular vein. After consultation with a radiologist and reconstruction of a previous CT scan, a persistent left superior vena cava was revealed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This anomaly has a prevalence of .3%–.5%. Among other implications, it may coincide with other cardiac anatomical anomalies, and hinder the placement of venous catheters and pacemakers.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Conflict of interestsThe author has no conflict of interest to declare." 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ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 70. Issue 1.