Persistent left superior vena cava

Case contributed by Dr Paul Simkin


Routine x-ray after vascath insertion.

Patient Data

Age: 65 years
Gender: Male

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 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
Published: 30th Jul 2013
Last edited: 27th Sep 2019
System: Vascular, Chest
Inclusion in quiz mode: Included

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