Presentation
Routine x-ray after vascath insertion.
Patient Data
Age: 65 years
Gender: Male
From the case:
Persistent left superior vena cava
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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.
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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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