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Persistent left superior vena cava with thrombus formed in the catheter lumen 4 h after dialysis catheter placed

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Abstract

Persistent left superior vena cava (PLSVC) is one of the most common thoracic venous anomaly and rarely noticed, because it is asymptomatic. However, for nephrologists, it is frequent enough to be encountered while placing hemodialysis catheters through the jugular vein. We report the case of 66-year-old patient with PLSVC presenting intrinsic thrombosis formation 4 h after dialysis catheter placed. Dialysis catheter was placed in the left internal jugular vein without resistance and any complication. PLSVC was detected after dialysis catheter insertion. We decided to remove the catheter, because the patient has other veins in which the catheter can be placed. When it was removed 4 h after catheter placing, thrombus was recognized in the catheter lumen. Transesophageal echocardiography was performed and no thrombus formation was observed in the heart chamber. For patients with PLSVC, if there were other veins in which the catheter can be placed, catheter replacement should be considered.

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Authors and Affiliations

  1. Department of Nephrology, Soka City Hospital, 2-21-1 Soka, Soka, Saitama, 340-8560, Japan

    Tomoki Kawasaki, Hiroyuki Tanaka, Miki Oba, Megumi Takada, Haruna Tanaka & Shin Suda

Authors
  1. Tomoki Kawasaki
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  2. Hiroyuki Tanaka
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  3. Miki Oba
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  4. Megumi Takada
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  5. Haruna Tanaka
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  6. Shin Suda
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Corresponding author

Correspondence to Tomoki Kawasaki.

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The authors have declared that no conflict of interest exists.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was obtained from the patient in this case.

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Kawasaki, T., Tanaka, H., Oba, M. et al. Persistent left superior vena cava with thrombus formed in the catheter lumen 4 h after dialysis catheter placed. CEN Case Rep 7, 158–161 (2018). https://doi.org/10.1007/s13730-018-0317-2

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  • DOI: https://doi.org/10.1007/s13730-018-0317-2

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