A Rare Presentation of Duplicate Superior Vena Cava Precipitating Premature Atrial Contractions: A Case Report and a Review of the Literature.
| Autor: | Idries IY; Internal Medicine, Brookdale University Hospital Medical Center, New York City, USA., Sur A; Internal Medicine, Brookdale University Hospital Medical Center, New York City, USA., Yadav R; Internal Medicine, Brookdale University Hospital Medical Center, New York City, USA., Yadav V; Pulmonary and Critical Care, State University of New York Downstate Health Sciences University, New York City, USA., Jaswani V; Interventional Radiology, Brookdale University Hospital Medical Center, New York City, USA., Zaman M; Critical Care Medicine, Brookdale University Hospital Medical Center, New York City, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Apr 18; Vol. 15 (4), pp. e37791. Date of Electronic Publication: 2023 Apr 18 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.37791 |
| Abstrakt: | Millions of central lines are placed each year worldwide for life-saving measures. We present a case of left internal jugular (IJ) triple lumen catheter (TLC) placement for life-saving vasopressors, which appeared to be in the left mediastinum after a confirmed chest X-ray. After correlation with a previous MRI of the heart with and without contrast, duplication of the superior vena cava (SVC), also known as persistent left SVC (PLSVC), was discovered. PLSVC often causes no symptoms to affected individuals and is usually first found as an incidental finding discovered during thoracic surgeries, cardiovascular interventional procedures, and central line insertions. Placement of TLC or central venous catheter (CVC) can be challenging in such patients and may lead to life-threatening complications such as severe arrhythmias, cardiogenic shock, pneumothorax, and tamponade. Knowing such anomalies can prevent unnecessary catheter removal and help determine the origin of some arrhythmias and dilated heart chambers in these patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Idries et al.) |
| Databáze: | MEDLINE |
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