Breast Surgery Department, The First People's Hospital of Xiaoshan District, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, China.
Medicine (Baltimore). 2024 Oct 4;103(40):e39978. doi: 10.1097/MD.0000000000039978.
Persistent left superior vena cava (PLSVC) is a rare congenital venous anomaly occurring in approximately 0.3% to 0.5% of the population. The presence of PLSVC complicates central venous catheter placement, increasing procedural risks. This case report describes the successful placement of a chest wall venous infusion port in a patient with PLSVC, offering valuable insights for managing similar cases and ensuring safer clinical outcomes.
A 51-year-old female, 3 weeks post-right breast cancer surgery, was admitted for her first adjuvant hemotherapy session. She requested the placement of a venous infusion port due to the prolonged duration of chemotherapy.
Imaging studies suggested the presence of PLSVC. Echocardiography revealed a dilated coronary sinus, and subsequent chest computed tomography and angiography confirmed the presence of PLSVC.
A chest wall venous infusion port was inserted via the left internal jugular vein. Due to the PLSVC, the catheter was adjusted to ensure proper placement.
The patient successfully completed chemotherapy without any complications or discomfort associated with the venous port. Imaging studies, including chest X-ray and computed tomography, confirmed proper port function and catheter positioning, with no evidence of thrombosis, infection, or other related issues. The patient remained in good overall condition throughout the treatment.
Detailed preoperative evaluations, intraoperative imaging guidance, and postoperative follow-ups are crucial for the safe and effective management of PLSVC patients undergoing central venous catheter placement.
持续性左上腔静脉（PLSVC）是一种罕见的先天性静脉异常，约占人群的 0.3%至 0.5%。PLSVC 的存在使中心静脉导管放置复杂化，增加了手术风险。本病例报告描述了一例 PLSVC 患者成功放置胸壁静脉输液港的案例，为处理类似病例提供了有价值的见解，确保了更安全的临床结局。
一名 51 岁女性，右乳腺癌手术后 3 周，因首次辅助化疗入院。由于化疗时间较长，她要求置入静脉输液港。
影像学检查提示存在 PLSVC。超声心动图显示冠状静脉窦扩张，随后的胸部 CT 和血管造影证实了 PLSVC 的存在。
通过左颈内静脉置入胸壁静脉输液港。由于 PLSVC 的存在，调整了导管以确保正确的位置。
患者成功完成了化疗，没有出现与静脉港相关的任何并发症或不适。影像学检查，包括胸部 X 线和 CT，证实了端口功能和导管位置正常，没有血栓、感染或其他相关问题的证据。患者在整个治疗过程中整体状况良好。
详细的术前评估、术中影像学引导和术后随访对于 PLSVC 患者行中心静脉导管放置的安全有效管理至关重要。
