Presentation
Right-sided breast cancer. Referred for left-sided PICC line insertion.
Patient Data
Age: 40 years
Gender: Female
From the case:
Central venous line in left-sided superior vena cava
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The guide wire was noted to extend along the left mediastinum and with advancement of the guide wire, it extended into the expected region of inferior vena cava and right hepatic vein. The final position of the PICC line is projecting over the expected region of the left SVC and right atrium.
Case Discussion
Duplicated SVC is a rare anatomical variant that occurs in about 0.3 % of the population. In this case report, the patient was found to have an unusual course of guide-wire. Prior imaging was reviewed and left-sided SVC was confirmed. The final position of the PICC line is projecting over the left SVC and right atrium. No acute complication.
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