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Hemodialysis through persistent left superior vena cava

Author(s): Kute V | Vanikar A | Gumber M | Shah P | Goplani K | Trivedi H

Journal: Indian Journal of Critical Care Medicine
ISSN 0972-5229

Volume: 15;
Issue: 1;
Start page: 40;
Date: 2011;
Original page

Keywords: Hemodialysis | hemodialysis catheter | persistent left superior vena cava

We report a case of end stage renal disease patient who displayed a persistent left superior vena cava (PLSVC) after placement of hemodialysis (HD) catheter through left internal jugular vein, as revealed by routine post-procedure X-ray chest. The diagnosis of PLSVC was confirmed by arterial blood gas, two-dimensional echocardiography, computed tomography thorax and angiographic examination. This anomaly is rather rare; few studies on safety of PLSVC for HD have been reported. The catheter was uneventfully used for HD for 2 months with careful continuous monitoring and removed after arteriovenous fistula was successfully cannulated. Physicians who place HD catheters in the left jugular/subclavian vein should be aware of the existence of PLSVC.

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