Incidental finding of persistent left superior vena cava after 'bubble study' verification of central venous catheter.


Journal Article

We report a case of a patient with septic shock who underwent central venous catheter placement in the left internal jugular vein, and a bedside ultrasound 'bubble study' revealed venous cannulation. A chest X-ray postprocedure revealed concern for arterial system catheterisation. However, the possibility of a persistent left superior vena cava was discussed and confirmed with a formal transthoracic echocardiogram and CT. This case demonstrates the importance of ultrasound-guided visualisation of anatomical structures in real time during central venous catheterisation. Other similar cases from the literature are briefly described.

Full Text

Duke Authors

Cited Authors

  • Pardinas Gutierrez, MA; Escobar, LA; Blumer, V; Cabrera, JL

Published Date

  • July 31, 2017

Published In

Volume / Issue

  • 2017 /

PubMed ID

  • 28765490

Pubmed Central ID

  • 28765490

Electronic International Standard Serial Number (EISSN)

  • 1757-790X

International Standard Serial Number (ISSN)

  • 1757-790X

Digital Object Identifier (DOI)

  • 10.1136/bcr-2017-220133


  • eng