PMC5290679_01
Bicaval view on transesophageal echocardiograph showing absent right superior vena cava
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F1
However, bicaval TEE view showed neither the distal end of CVC nor the right superior vena cava (RSVC) [Figure 1].
Mid-esophageal view on transesophageal echocardiograph. Echo contrast in the left superior vena cava located lateral to the left atrium, after injection of agitated saline into the RIJV. RIJV: Right internal jugular vein
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F2
The flow of the contrast was first noted in the LSVC [Figure 2], CS, and then in the right atrium (RA). Figure 2 (TEE mid-esophageal view) shows the echo contrast in the LSVC lying just lateral to the LA.
Surgical field showing absent right superior vena cava
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F3
During surgery, it was observed that the RSVC was absent [Figure 3].
The heart is turned to right. Left superior vena cava in the operative field
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F4
The LSVC joined by the right brachiocephalic vein was large and prominent [Figure 4].
Chest X-ray showing the course (arrows) of central venous catheter
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F5
In the postoperative chest X-ray [Figure 5], the course of CVC was from RIJV through the innominate vein to the LSVC.