Persistent left superior vena cava: diagnosed by bedside echocardiography in a liver transplant patient: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 429-432, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-114076
ABSTRACT
In most cases, persistent left superior vena cava (PLSVC) is asymptomatic and discovered accidentally. This case involves a 43-year-old male who underwent an emergency cadaveric liver transplantation. Postoperatively, the left internal jugular vein was cannulated using a sono-guided Seldinger technique in the intensive care unit. But the chest X-ray showed that the catheter followed the left paramediastinal course instead of crossing midline to the right to enter the superior vena cava. In consideration of the patient's status, an intra-arterial or extra-vascular placement could be excluded. For a diagnosis, we performed a bed-side transthoracic echocardiography with an agitated saline micro-bubble test. When agitated saline was injected through the catheter, the coronary sinus was initially opacified, and then the right atrium followed. In conclusion, we were able to make a diagnosis of PLSVC by a bedside test without radiation exposure.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tórax
/
Veia Cava Superior
/
Cadáver
/
Ecocardiografia
/
Transplante de Fígado
/
Meios de Contraste
/
Diagnóstico
/
Di-Hidroergotamina
/
Emergências
/
Seio Coronário
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2014
Tipo de documento:
Artigo
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