Abstract
A 77-year-old man was scheduled to undergo the resection of hepatoma. After the induction of general anesthesia, a central venous (CV) catheter was inserted from the right internal jugular vein under the echographic observation. Then, we noticed that the size of the vein was smaller than usual, which caused a little difficulty in the insertion. The post-insertion chest X-ray showed unusual placement of the catheter's tip toward the left side of the trachea. Re-evaluation of preoperative CT revealed the persistent left superior vena cava (PLSVC) with absent right superior vena cava. Post-operative examination with echography of the neck showed that the left internal jugular vein was much greater than the right. When noticing a small right internal jugular vein in pre-procedure echography, existence of PLSVC should be considered, and meticulous CV catheterization is necessary for safety.
| Original language | English |
|---|---|
| Pages (from-to) | 870-872 |
| Number of pages | 3 |
| Journal | Japanese Journal of Anesthesiology |
| Volume | 62 |
| Issue number | 7 |
| Publication status | Published - Jul 2013 |
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All Science Journal Classification (ASJC) codes
- Anesthesiology and Pain Medicine
Cite this
A case of persistent left superior vena cava with absent right superior vena cava found on the insertion of central venous catheter. / Taniguchi, Nami; Kai, Tetsuya; Kandabashi, Tadashi; Miyazaki, Ryohei; Hoka, Sumio.
In: Japanese Journal of Anesthesiology, Vol. 62, No. 7, 07.2013, p. 870-872.Research output: Contribution to journal › Article
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TY - JOUR
T1 - A case of persistent left superior vena cava with absent right superior vena cava found on the insertion of central venous catheter
AU - Taniguchi, Nami
AU - Kai, Tetsuya
AU - Kandabashi, Tadashi
AU - Miyazaki, Ryohei
AU - Hoka, Sumio
PY - 2013/7
Y1 - 2013/7
N2 - A 77-year-old man was scheduled to undergo the resection of hepatoma. After the induction of general anesthesia, a central venous (CV) catheter was inserted from the right internal jugular vein under the echographic observation. Then, we noticed that the size of the vein was smaller than usual, which caused a little difficulty in the insertion. The post-insertion chest X-ray showed unusual placement of the catheter's tip toward the left side of the trachea. Re-evaluation of preoperative CT revealed the persistent left superior vena cava (PLSVC) with absent right superior vena cava. Post-operative examination with echography of the neck showed that the left internal jugular vein was much greater than the right. When noticing a small right internal jugular vein in pre-procedure echography, existence of PLSVC should be considered, and meticulous CV catheterization is necessary for safety.
AB - A 77-year-old man was scheduled to undergo the resection of hepatoma. After the induction of general anesthesia, a central venous (CV) catheter was inserted from the right internal jugular vein under the echographic observation. Then, we noticed that the size of the vein was smaller than usual, which caused a little difficulty in the insertion. The post-insertion chest X-ray showed unusual placement of the catheter's tip toward the left side of the trachea. Re-evaluation of preoperative CT revealed the persistent left superior vena cava (PLSVC) with absent right superior vena cava. Post-operative examination with echography of the neck showed that the left internal jugular vein was much greater than the right. When noticing a small right internal jugular vein in pre-procedure echography, existence of PLSVC should be considered, and meticulous CV catheterization is necessary for safety.
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UR - http://www.scopus.com/inward/citedby.url?scp=84880430816&partnerID=8YFLogxK
M3 - Article
C2 - 23905415
AN - SCOPUS:84880430816
VL - 62
SP - 870
EP - 872
JO - Japanese Journal of Anesthesiology
JF - Japanese Journal of Anesthesiology
SN - 0021-4892
IS - 7
ER -