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Volume 14
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10.3390/diagnostics14101038
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Interesting Images

Malposition of Central Venous Catheter into Coronary Sinus throughout the Persistent Left Superior Vena Cava and Other Complications Related to Catheterization

by
Barbara Syska
1,
Anna S. Veer
1,
Patrycja S. Matusik
2,3,*,
Jarosław D. Jarczewski
2,
Katarzyna Krzanowska
4 and
Tadeusz J. Popiela
2,3
1
Students’ Scientific Group, Department of Diagnostic Imaging, Jagiellonian University Medical College, 31-008 Cracow, Poland
2
Department of Diagnostic Imaging, University Hospital, 30-688 Cracow, Poland
3
Chair of Radiology, Faculty of Medicine, Jagiellonian University Medical College, 31-008 Cracow, Poland
4
Department of Nephrology, Jagiellonian University Medical College, 31-008 Cracow, Poland
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(10), 1038; https://doi.org/10.3390/diagnostics14101038
Submission received: 6 April 2024 / Revised: 9 May 2024 / Accepted: 15 May 2024 / Published: 17 May 2024
(This article belongs to the Section Pathology and Molecular Diagnostics)
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Abstract

This case concentrates on the persistent left superior vena cava (PLSVC), a rare vascular anomaly which contributes to central venous catheter (CVC) misplacement. A 72-year-old woman with renal insufficiency presented to the hospital with recurrent bleeding from her permanent CVC device placed in the right common jugular vein. An initial attempt to replace the device was unsuccessful, necessitating the placement of a secondary catheter in the left jugular vein. Shortly after the procedure, the patient developed swelling of the face and neck. Further diagnostic imaging, including a chest radiograph and computed tomography (CT), revealed CVC misplacement in the PLSVC and coronary sinus, thrombosis of the common jugular vein, and a posterior mediastinal hematoma. Conservative therapy of the mediastinal hematoma was implemented and proved effective in this case. A temporary CVC was inserted into the left femoral vein. Two months later, the catheter underwent further dysfunction and a decision was made to place a long-term permanent CVC via the right femoral vein. The patient is currently awaiting an arteriovenous fistula for dialysis use. This case emphasizes the importance of radiological techniques for CVC procedural placement, as well as the detection of congenital abnormalities. Providers regularly placing CVCs should have an in-depth knowledge of the possible complications and potential anatomical variations, especially as seen in high-risk patients.
Keywords: central venous catheter; persistent left superior vena cava; imaging techniques central venous catheter; persistent left superior vena cava; imaging techniques

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MDPI and ACS Style

Syska, B.; Veer, A.S.; Matusik, P.S.; Jarczewski, J.D.; Krzanowska, K.; Popiela, T.J. Malposition of Central Venous Catheter into Coronary Sinus throughout the Persistent Left Superior Vena Cava and Other Complications Related to Catheterization. Diagnostics 2024, 14, 1038. https://doi.org/10.3390/diagnostics14101038

AMA Style

Syska B, Veer AS, Matusik PS, Jarczewski JD, Krzanowska K, Popiela TJ. Malposition of Central Venous Catheter into Coronary Sinus throughout the Persistent Left Superior Vena Cava and Other Complications Related to Catheterization. Diagnostics. 2024; 14(10):1038. https://doi.org/10.3390/diagnostics14101038

Chicago/Turabian Style

Syska, Barbara, Anna S. Veer, Patrycja S. Matusik, Jarosław D. Jarczewski, Katarzyna Krzanowska, and Tadeusz J. Popiela. 2024. "Malposition of Central Venous Catheter into Coronary Sinus throughout the Persistent Left Superior Vena Cava and Other Complications Related to Catheterization" Diagnostics 14, no. 10: 1038. https://doi.org/10.3390/diagnostics14101038

APA Style

Syska, B., Veer, A. S., Matusik, P. S., Jarczewski, J. D., Krzanowska, K., & Popiela, T. J. (2024). Malposition of Central Venous Catheter into Coronary Sinus throughout the Persistent Left Superior Vena Cava and Other Complications Related to Catheterization. Diagnostics, 14(10), 1038. https://doi.org/10.3390/diagnostics14101038

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