• A & A case reports · Jun 2017

    Case Reports

    Accidental Cannulation of Persistent Left Superior Vena Cava in a Case of Absent Right Internal Jugular Vein: A Case Report on the Role of Ultrasonography and X-Ray.

    • Nilesh B Sonawane, Falguni Rajendra Shah, and Prakash Jagadish Gawankar.
    • From the *Department of Anaesthesia and Intensive Care, Barnet Hospital, London, United Kingdom; and †Department of Anaesthesia, Lilavati Hospital and Research Centre, Bandra (West), Mumbai, India.
    • A A Case Rep. 2017 Jun 15; 8 (12): 330-333.

    AbstractPersistent left superior vena cava is a rare vascular anatomical variant. Although ultrasonography has facilitated the process of central venous catheterization, it cannot be used to locate the tip of a catheter. Postprocedure chest X-ray is desirable for locating the course and tip of the catheter. In our case, initial ultrasonography demonstrated the absence of the right internal jugular vein. This prompted insertion of a central venous catheter on the left side of the neck in the presence of normal vascular anatomy. A subsequent chest X-ray revealed an abnormal course of the catheter consistent with presence of persistent left superior vena cava.

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