Key result
Insertion of a haemodialysis catheter via the left internal jugular vein revealed a persistent left-sided superior vena cava, highlighting the risk of inadvertent coronary sinus cannulation.
Case Report (n=1)
When a central venous catheter placed in the left jugular vein projects over the left ventricle on a chest radiograph, a persistent left-sided superior vena cava should be suspected and confirmed with imaging to prevent severe cardiac complications.
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Clinicians should suspect persistent left SVC with left IJ catheter malposition on CXR; single case leaves open need for prospective validation.
Balasubramanian et al. (2013) conducted a case report in Acute-on-chronic kidney disease requiring haemodialysis (n=1). Haemodialysis catheter insertion via left internal jugular vein was evaluated. Insertion of a haemodialysis catheter via the left internal jugular vein revealed a persistent left-sided superior vena cava, highlighting the risk of inadvertent coronary sinus cannulation.
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