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Related Experiment Videos

Persistent left superior vena cava and central venous feeding.

E M Kiely, L Spitz

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |April 1, 1984
    PubMed
    Summary

    Left-sided superior vena cava (LSVC) poses risks during central venous catheterization. This anomaly occurred more frequently than expected in infants, necessitating specific safety measures.

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    Area of Science:

    • Medical Science
    • Pediatric Medicine
    • Vascular Surgery

    Background:

    • Central venous catheterization (CVC) is a common procedure in neonates and infants.
    • Anatomical variations can complicate CVC placement and increase risks.
    • Left-sided superior vena cava (LSVC) is a rare congenital anomaly.

    Observation:

    • Three cases of LSVC were identified in 160 central venous catheterizations in infants.
    • This incidence is significantly higher than previously reported in the literature.
    • The anomaly was encountered during routine CVC procedures.

    Findings:

    • The prevalence of LSVC in this infant cohort undergoing CVC was notably higher than anticipated.
    • The presence of LSVC presents unique challenges during central venous catheter insertion.

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  • This finding highlights a potential underestimation of LSVC prevalence in pediatric populations.

    • Implications:

    • Increased awareness of LSVC is crucial for clinicians performing CVC in infants.
    • Development and implementation of specific safety protocols for LSVC are recommended.
    • Further research is warranted to determine the true incidence and optimal management of LSVC in pediatric patients.