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Case Report: Persistent left superior vena cava: an incidental finding during peripherally inserted central catheter
Shi-Xiang Pan1, Ye-Ling Zhang1, Fang Fang1
1Department of Cancer Therapy, The Affiliated Hospital of Qingdao University, Qingdao, China.
Frontiers in Surgery
|January 18, 2024
Summary
A rare vascular anomaly, persistent left superior vena cava (PLSVC), was identified in a breast cancer patient during peripherally inserted central catheter (PICC) placement. The catheter was safely retained due to proper positioning and absence of other cardiac issues.
Area of Science:
- Cardiology
- Vascular Surgery
- Medical Imaging
Background:
- Peripherally inserted central catheters (PICCs) are crucial for long-term chemotherapy administration.
- PICC procedures require specialized knowledge of anatomy and patient care.
- Persistent left superior vena cava (PLSVC) is an uncommon, often asymptomatic, vascular malformation.
Observation:
- A breast cancer patient presented with a negative P-wave on ECG during PICC placement.
- This ECG finding prompted further investigation, revealing PLSVC Type I.
- Chest X-ray, enhanced CT, and ECG confirmed the diagnosis.
Findings:
- PLSVC Type I was diagnosed in a breast cancer patient during PICC insertion.
- The peripherally inserted central catheter was appropriately positioned and deemed safe for retention.
- No other cardiovascular malformations were identified in the patient.
Implications:
- Healthcare professionals must be aware of potential anatomical variations like PLSVC.
- Thorough knowledge of vascular anomalies is essential for safe PICC procedures.
- Specialized protocols may be needed for patients diagnosed with PLSVC.
