Unusual Location of the Hemodialysis Catheter in Persistent left Superior Vena Cava in a Patient with Chronic Renal Failure.
- Author:
Young Ok KIM
1
;
Hui Kyung JEON
;
Chung Min HAN
;
Tae Wook PARK
;
Gi Youn KIM
;
Sun Ae YOON
;
Nam Il KIM
;
Ha Hun SONG
;
Seog Hee PARK
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, Medical College, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hemodialysis;
Subclavian vein catheterization;
Persistent left superior vena cava
- MeSH:
Aorta;
Catheterization;
Catheters*;
Genitalia;
Heart Defects, Congenital;
Humans;
Kidney Failure, Chronic*;
Magnetic Resonance Imaging;
Phlebography;
Pleural Cavity;
Renal Dialysis*;
Subclavian Vein;
Thorax;
Vena Cava, Superior*
- From:Korean Journal of Nephrology
1998;17(3):521-525
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A persistent left superior vena cava(SVC) is found in about 0.3% of healthy individuals and 4.3% of patients with congenital heart disease. This anomaly is most frequently found in conjunction with a right-sided SVC, but may also be solitary. Recently, we experienced a case of persistent left SVC in patient with chronic renal failure. He required subclavian catheterization for hemodialysis due to leakage of peritoneal dialysate into external genitalia and pleural cavity. Because he had had a history of right subclavian catheterization for hemodialysis 3 months ago, the hemodialysis catheter was inserted in the left subclavian vein without any complication. Chest X-ray after insertion of the catheter showed that the distal tip of the catheter seemed to be within the aorta. Venography showed that the catheter was located within the left SVC and MRI showed isolated two SVC. He is receiving hemodialysis through the left subclavian catheter which is positioned within the left SVC without any problem.
