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[A man with abnormal blood vessels]

Souad Bouhbouh1, Jikke M T Omloo

  • 1Gelre Ziekenhuizen, afd. Intensive Care, Apeldoorn. s.bouhbouh@umcutrecht.nl

Nederlands Tijdschrift Voor Geneeskunde
|March 25, 2011
PubMed

Insights

A central venous catheter was misplaced, routing to the left heart side. Imaging revealed it was in a persistent left superior vena cava, a rare anatomical variation.

Area of Science:

  • Cardiology
  • Radiology
  • Anatomy

Background:

  • Central venous catheterization is a common medical procedure.
  • Anatomical variations can complicate catheter placement.
  • Persistent left superior vena cava (PLSVC) is a rare congenital anomaly.

Observation:

  • A 37-year-old male patient underwent central venous catheter insertion.
  • During placement, the catheter followed an unusual path towards the left side of the heart.
  • Computed tomography (CT) was utilized for imaging.

Findings:

  • The CT scan confirmed the catheter was not in the expected position.
  • The imaging demonstrated the catheter tip located within a persistent left superior vena cava.
  • This finding indicates a rare anatomical variant was encountered.

Implications:

  • Misplacement of central venous catheters can lead to serious complications.
  • Recognition of anatomical variations like PLSVC is crucial for safe procedures.
  • Accurate imaging and anatomical knowledge are vital for interventional cardiology and radiology.

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