Carrillo-Esper Raúl, Contreras-Domínguez Vladimir, Salmerón-Nájera Pedro, Carvajal-Ramos Roberto, Hernández-Aguilar César, Juárez-Uribe Aurelio
Academia Mexicana de Cirugía, Postgrado de Medicina del Enfermo en Estado Crítico, Mexico.
Cir Cir. 2003 Jul-Aug;71(4):319-23.
Our objective was to report a Persistent Left Superior Vena Cava in a critically ill patient.
Case report.
Intensive care unit of a referral center.
A 52 years-old male without previous cardiovascular disease was admitted to the intensive care unit due to cranial trauma. A central left subclavian vein catheter was placed at his arrival at the center chest X-ray showed the catheter in the left of the cardiac silhohuete without hemo-pneumothorax. A angiographic evaluation through central venous catheter showed persistent left superior vena cava draining to the coronary sinus and right atrium with normal permeability of right superior vena cava. Other congenital alterations were excluded. Chest computed tomography confirmed the diagnosis. Persistent left superior vena cava is a congenital vascular abnormality. The intensive care unit staff must be aware of this vascular abnormality because it can complicate central venous catheterization.
我们的目的是报告一例危重症患者的永存左上腔静脉。
病例报告。
一家转诊中心的重症监护病房。
一名52岁男性，既往无心血管疾病，因颅脑外伤入住重症监护病房。在其抵达中心时放置了一根左锁骨下静脉中心导管，胸部X线显示导管位于心脏轮廓左侧，无血气胸。通过中心静脉导管进行的血管造影评估显示永存左上腔静脉引流至冠状窦和右心房，右上腔静脉通透性正常。排除了其他先天性改变。胸部计算机断层扫描证实了诊断。永存左上腔静脉是一种先天性血管异常。重症监护病房的工作人员必须了解这种血管异常，因为它可能会使中心静脉置管复杂化。
