Persistent left superior vena cava

Case contributed by Dr Paul Simkin

Presentation

Routine x-ray after vascath insertion.

Patient Data

Age: 64
Gender: Male
X-ray

The left internal jugular central venous catheter (CVC) is seen in the left internal jugular vein and projected vertically into the left retrocardiac region, suggestive of a left sided superior vena cava (SVC).

A previous x-ray shows a correctly positioned right internal jugular CVC, indicating a right sided SVC is also present.

CT

CT was performed to further clarify anatomy.

CT shows the vascath positioned within the duplicated left superior vena cava, the tip at the junction of the proximal superior vena cava and the oblique vein of Marshall.

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Case information

rID: 24162
Case created: 30th Jul 2013
Last edited: 2nd Nov 2015
Systems: Vascular, Chest
Inclusion in quiz mode: Included

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