Authors
Kulikov E.P.1, Belousov I.K.2, Hashumov R.M.1, 3, Gaponyako Yu.S.4, Pronin N.A.1, 4, Eliseeva V.G.2, Shanaev I.N.1, 2, Abbasov A.E.2
1 Ryzan State Medical University, Ryazan
2 Regional Clinical Oncology Dispensary, Ryazan
3 Regional Clinical Cardiology Dispensary, Ryazan
4 N.A. Semashko Clinical Hospital, Ryazan
Abstract
A persistent left superior vena cava is a significant congenital anomaly of the intrathoracic veins that occurs when the left superior cardinal vein fails to obliterate. Most commonly, it is observed in conjunction with a right superior vena cava, while isolated cases are rare. The overwhelming majority of cases are identified in patients with cardiac arrhythmias. The presence of a persistent left superior vena cava may cause technical difficulties and iatrogenic injuries during surgical interventions. Preoperative echocardiography and computed tomographic phlebography enable the detection of this anomaly.
Keywords: рersistent left superior vena cava, port catheter, malignant neoplasm.
References
1. Dolgushin B.I. Intervencionnaya radiologiya v onkologii. VIDAR; 2022. (In Russ.)
2. Wood P: Disesase of heart and circulation. 2nd edition. Philadelphia: JB Lippincott; 1956.
3. Morgan LG, Gardner J, Calkins J. the incidental finding of a persistent left superior vena cava: implications for primary care providers-case and review. Case Rep Med. 2015; 2015: 198754.
4. Persistent left superior vena cava: a case report and review of literature Sandeep K Goyal, Sujeeth R Punnam, Gita Verma and Frederick L Ruberg.
5. Roberts D, Bellamy C, Ramsdale D: Implantation of a dual chamber pacemaker in a patient with persistent left superior vena cava. Int J Cardiol. 1992, 36(2): 242-243.
6. Tak T, Crouch E, Drake GB. Persistent left superior vena cava: incidence, significance and clinical correlates. Int J Cardiol. 2002; 82: 91-3.
7. Persistent left superior vena cava as an incidental finding in the introduction of a transient pacemaker: A case report David Ricardo Echeverry, Juan Guillermo Buitrago, Andrés Alirio Restrepo, Cristhian David Morales.
8. Webb W, Gamsu G, Speckman J, Kaiser J, Federle M, Lipton M: Computed tomographic demonstration of mediastinal venous anomalies. AJR Am J Roentgenol 1982, 139(1): 157-161.
9. Irwin RB, Greaves M, Schmitt M. Left superior vena cava: revisited. Eur Heart J Cardiovasc Imaging. 2012; 13: 284-91.
10. Nandakumar KP, Maitra S. Persistent left superior vena cava: What an anesthesiologist needs to know? J Anaesthesiol Clin Pharmacol. 2018; 34: 407-8.
11. Jović Z, Mijailović Z, Obradović S, Tavciovski D, Matunović R, Rusović S, et al. Successful implantation of a permanent pacemaker through a persistent left superior vena cava by using a right subclavian approach. Vojnosanit Pregl. 2011; 68: 792-4.
