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BJA Advance Access originally published online on November 25, 2005
British Journal of Anaesthesia 2006 96(1):53-56; doi:10.1093/bja/aei272
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CASE REPORT

Bedside confirmation of a persistent left superior vena cava based on aberrantly positioned central venous catheter on chest radiograph

N. Ghadiali1,*, L. M. Teo1 and K. Sheah2

1 Department of Anaesthesia and Surgical Intensive Care and 2 Department of Diagnostic Radiology, Singapore General Hospital, Singapore

* Corresponding author. Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Block 6 (Level 2) Outram Road, Singapore 169608. E-mail: nghadiali2003{at}yahoo.com

This is a report of incidental diagnosis of a persistent left superior vena cava (PLSVC) based on an abnormal positioning of central venous catheter seen on chest radiograph and an abnormal pressure waveform. Non-invasive bedside tests included venography with simultaneous chest radiograph and a transthoracic echocardiography with an agitated saline microbubble contrast. These tests led to the diagnosis of PLSVC. Although PLSVC is the most common venous thoracic anomaly that produces a diagnostic dilemma, not many anaesthetists and intensivists are familiar with its appearance, diagnosis and implications. The clinical significance of PLSVC and diagnostic options are discussed.


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Small Right Internal Jugular Vein – Sign of Left Superior Vena Cava
Lee A Plant, et al.
British Journal of Anaesthesia, 10 Mar 2006 [Full text]

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