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Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Related Experiment Video

Updated: Jun 27, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
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Persistent left-sided SVC: An incidental finding during Port-A-Cath placement.

Jakob Hama1, Matthew Smith2, Geovanna Erazo2

  • 1Internal Medicine, New York City Health and Hospitals Queens Hospital Center, 82-68 164th St, Queens, NY 11432, USA.

Radiology Case Reports
|February 29, 2024
PubMed
Summary

A rare persistent left superior vena cava (PLSVC) anatomical variation was identified during port placement for chemotherapy. Recognizing PLSVC is crucial for preventing complications during invasive procedures in cancer patients.

Keywords:
CatheterLeftPersistentPort-A-CathSVC

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Area of Science:

  • Cardiovascular anatomy
  • Interventional radiology

Background:

  • Port-A-Cath placement is standard for chemotherapy delivery.
  • Superior vena cava (SVC) is the typical target vessel.

Observation:

  • A persistent left-sided SVC (PLSVC) variant anatomy was unexpectedly discovered during a fluoroscopy-guided port placement.
  • The PLSVC was confirmed via venogram and retrospective CT scan analysis.

Findings:

  • Persistent left-sided SVC (PLSVC) is often asymptomatic.
  • PLSVC is associated with a higher incidence of congenital heart defects (CHD).
  • Anatomical variations increase risks during invasive procedures.

Implications:

  • Accurate diagnosis of PLSVC is vital for patient safety.
  • Avoiding unnecessary catheter removal prevents patient distress.
  • Pre-procedural awareness of PLSVC facilitates complication management and optimizes patient care.