Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Hemodialysis Unit, St. Adalbert Hospital, Copernicus Health Trust, Gdańsk, Poland.
J Vasc Access. 2021 Sep;22(5):845-848. doi: 10.1177/1129729820933529. Epub 2020 Jun 24.
Persistent left superior vena cava is an uncommon abnormality of the venous system. Most commonly, it is diagnosed incidentally during central vein catheterisation on the left side or pacemaker implantation. We present the case of a patient with persistent left superior vena cava, which was diagnosed after the attempted insertion of tunnelled haemodialysis catheter through the left internal jugular vein. The presence of the persistent left superior vena cava was confirmed by cardiac echography and angio-computed tomography scan. The 19-cm long tunnelled haemodialysis catheter was inserted into persistent left superior vena cava through the left internal jugular vein with good long-term function.
永存左上腔静脉是一种罕见的静脉系统异常。它通常在左侧中心静脉置管或起搏器植入时偶然诊断出来。我们报告了一例永存左上腔静脉患者的病例，该患者在尝试通过左侧颈内静脉插入隧道式血液透析导管后被诊断出。永存左上腔静脉的存在通过心脏超声心动图和血管计算机断层扫描扫描得到确认。19 厘米长的隧道式血液透析导管通过左侧颈内静脉插入永存左上腔静脉，长期功能良好。
