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BMJ Case Rep. 2017 Jul 31;2017. pii: bcr-2017-220133. doi: 10.1136/bcr-2017-220133.

Incidental finding of persistent left superior vena cava after 'bubble study' verification of central venous catheter.

Author information

1
Department of Medicine, Jackson Memorial Hospital, Miami, Florida, USA.

Abstract

We report a case of a patient with septic shock who underwent central venous catheter placement in the left internal jugular vein, and a bedside ultrasound 'bubble study' revealed venous cannulation. A chest X-ray postprocedure revealed concern for arterial system catheterisation. However, the possibility of a persistent left superior vena cava was discussed and confirmed with a formal transthoracic echocardiogram and CT. This case demonstrates the importance of ultrasound-guided visualisation of anatomical structures in real time during central venous catheterisation. Other similar cases from the literature are briefly described.

KEYWORDS:

cardiovascular system; intensive care; medical management; radiology; vascular surgery

PMID:
28765490
DOI:
10.1136/bcr-2017-220133
[Indexed for MEDLINE]

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