title: Hemodialysis through persistent left superior vena cava.
abstract: We report a case of end stage renal disease patient who displayed a persistent left superior vena cava (PLSVC) after placement of hemodialysis (HD) catheter through left internal jugular vein, as revealed by routine post-procedure X-ray chest. The diagnosis of PLSVC was confirmed by arterial blood gas, two-dimensional echocardiography, computed tomography thorax and angiographic examination. This anomaly is rather rare; few studies on safety of PLSVC for HD have been reported. The catheter was uneventfully used for HD for 2 months with careful continuous monitoring and removed after arteriovenous fistula was successfully cannulated. Physicians who place HD catheters in the left jugular/subclavian vein should be aware of the existence of PLSVC.
authors.affiliation: Department of Nephrology and Clinical Transplantation, Transfusion Services and Immunohematology, Institute of Kidney Diseases and Research Center, Dr. H. L. Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, India.
authors.forename: V B
authors.initials: VB
authors.lastname: Kute
authors.forename: A V
authors.initials: AV
authors.lastname: Vanikar
authors.forename: M R
authors.initials: MR
authors.lastname: Gumber
authors.forename: P R
authors.initials: PR
authors.lastname: Shah
authors.forename: K R
authors.initials: KR
authors.lastname: Goplani
authors.forename: H L
authors.initials: HL
authors.lastname: Trivedi