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Case Reports
. 2006 Sep;55(9):950-2, 954.
doi: 10.1007/s00101-006-1054-z.

[Difficult placement of a pulmonary artery catheter due to a persistent left vena cava superior]

[Article in German]
T A Treschan  1 , B Plicht, T Buck, M Beiderlinden, J Peters
Affiliations
Case Reports

[Difficult placement of a pulmonary artery catheter due to a persistent left vena cava superior]

[Article in German]
T A Treschan et al. Anaesthesist. 2006 Sep.

Abstract

The incidental detection of a persistent left vena cava superior during insertion of a pulmonary artery catheter in a patient with acute respiratory distress syndrome (ARDS) prior to extracorporeal membrane oxygenation (ECMO) therapy is reported. A persistent left vena cava superior is the most frequent thoracic malformation and can be associated with other malformations such as congenital heart disease. Therefore, further diagnostic evaluation is needed especially in pulmonary hypertension and ARDS. Anaesthesiologists should be aware of the specific aspects associated with a persistent left vena cava superior.

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