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Related Experiment Video

Updated: Aug 26, 2025

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava

Published on: January 13, 2023

Persistent Left Superior Vena Cava: A Rare Finding for the Internists.

Syed Mohammad Haleem¹

¹Department of Cardiology, National Institute of Cardiovascular Diseases, Karachi, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|October 10, 2022

Summary

This summary is machine-generated.

A persistent left superior vena cava (PLSVC) was identified in a patient with septic shock following central venous catheter insertion. The catheter was safely managed without immediate complications, highlighting awareness of PLSVC in clinical practice.

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Area of Science:

Cardiology
Vascular Anatomy
Critical Care Medicine

Background:

Persistent left superior vena cava (PLSVC) is a rare congenital anomaly.
Septic shock presents a critical challenge in intensive care settings.
Central venous catheterization is a common but potentially complex procedure.

Observation:

A quinquagenarian South Asian male presented with septic shock.
Central venous catheterization revealed a Type II PLSVC, diagnosed via chest X-ray and echocardiography.

Findings:

The central venous catheter was successfully retained and managed with vasopressors and hemodynamic monitoring.
No immediate or delayed complications related to the catheter were observed in the presence of PLSVC.

Implications:

Physicians must consider the possibility of PLSVC, especially when catheters follow an unusual left parasternal trajectory.
Awareness of PLSVC aids in safe central venous catheter management and complication avoidance.