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CC BY 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e15-e17
DOI: 10.1055/s-0040-1708474
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Persistent Left Superior Vena Cava Suggested by an Unusual Central Venous Pressure Waveform

Sujana Dontukurthy
1   Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, United States
,
Yoshikazu Yamaguchi 
1   Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, United States
2   Department of Anesthesiology, The Ohio State University, Columbus, Ohio, United States
,
Joseph D. Tobias
1   Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, United States
2   Department of Anesthesiology, The Ohio State University, Columbus, Ohio, United States
› Author Affiliations
Further Information

Publication History

06 December 2019

15 January 2020

Publication Date:
28 April 2020 (online)

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Abstract

Background A persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the thoracic venous return.

Case Description During atrial septal defect repair, a pulmonary artery (PA) catheter was placed via the left internal jugular vein. Although placement of the PA catheter in the main PA was confirmed by transesophageal echocardiography, the central venous pressure (CVP) waveform was abnormal. Intraoperatively, the PA catheter was seen exiting the coronary sinus with the CVP port within the coronary sinus.

Conclusions The diagnosis of PLSVC is discussed and the differential diagnosis of the abnormal “ventricular” pattern of the CVP waveform is reviewed.

Keywords

cardiovascular surgery - myocardial protection - anatomy - congenital heart disease - CHD

Financial Disclosure

None to declare.


Informed Consent

Not applicable.


Authors' Contributions

S.D. managed the case and prepared the manuscript. J.T. and Y.Y. reviewed and contributed to the final version of the manuscript. Each author has reviewed the final version of the manuscript and approves it for publication.


 

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