PMC4897085_01
71-year-old man with a persistent left superior vena cava draining into the left superior pulmonary vein. Radiograph of the chest following left internal jugular catheter placement demonstrates the abnormal course of the catheter depicted by the arrows. The tip of the left internal jugular catheter is in the left paramedian location and not in the expected region of the superior vena cava / right atrial junction.
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A left internal jugular hemodialysis catheter was placed with subsequent chest radiograph demonstrating an unusual course of the catheter (Fig. 1).
71-year-old man with a persistent left superior vena cava draining into the left superior pulmonary vein. Digital subtraction angiography following injection of left internal jugular venous catheter demonstrates catheterization of a persistent left superior vena cava (PLSVC) and (A) opacification of the left superior pulmonary vein (LSPV) and left atrium (LA). Subsequent image demonstrates (B) opacification of the left ventricle (LV) and aorta (Ao).
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Contrast injected into the left internal jugular venous catheter demonstrated opacification of the left superior pulmonary vein, left atrium, left ventricle, and aorta (Fig. 2).
71-year-old man with a persistent left superior vena cava draining into the left superior pulmonary vein. Volume rendering oblique view of the heart from CT scan demonstrates a persistent left superior vena cava (PLSVC) anterior to the suppressed aorta (Ao) draining into the left superior pulmonary vein (LSPV). The pulmonary artery (PA) is labeled.
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The coronary sinus was normal (Fig. 3).