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Persistent left superior vena cava: Two case reports and a review from nephrologists’ perspective
Authors:Tuncay Sahutoglu  Tamer Sakaci  Ekrem Kara  Elbis Ahbap  Taner Basturk  Yener Koc  Mustafa Sevinc  Cuneyt Akgol  Arzu Ozdemir Kayarlar  Zuhal Atan Ucar  Feyza Bayraktar Caglayan  Nuri Baris Hasbal  Perin Nazif  Mahmoud Isleem  Elif Sahutoglu  Abdulkadir Unsal
Affiliation:1. Department of Nephrology, Sisli Hamidiye Etfal Educational and Research Hospital, Istanbul, Turkey;2. Faculty of Medicine, Department of Internal Medicine, Recep Tayyip Erdogan University, Rize, Turkey;3. Department of Chest Disease, Yedikule Chest Disease and Surgery Education and Research Hospital, Istanbul, Turkey
Abstract:Thoracic venous anomalies without congenital heart anomalies are present in minority of the population, but they are frequent enough to be encountered while placing hemodialysis catheters through the jugular or subclavian veins. Persistent left superior vena cava is the most commonly seen anomaly and it is rarely noticed before the observation of an unusual course of hemodialysis catheter or guidewire on chest X‐ray. We present two patients with previously unspotted persistent left superior vena cava and uncomplicated hemodialysis catheter insertions through the internal jugular veins with good catheter functions. Review of the relevant literature from a nephrologists’ perspective with technical aspects is provided.
Keywords:Hemodialysis catheter  persistent left superior vena cava  hemodialysis
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