An absent right and persistent left superior vena cava in an infant requiring extracorporeal membrane oxygenation therapy.
J Pediatr Surg
; 28(12): 1633-4, 1993 Dec.
Article
em En
| MEDLINE
| ID: mdl-8301517
ABSTRACT
A persistent left superior vena cava (PLSVC) is the most common anomaly of the major veins. However, an absent right superior vena cava and PLSVC is much less common; fewer than 100 cases have been reported in the world literature in patients with situs solitus. This rare variation was encountered in a newborn requiring extracorporeal membrane oxygenation (ECMO) for meconium aspiration and interfered with venous cannulation. The anomaly was not suspected before an unusual cannula position was observed on the chest radiograph, and it was confirmed by bedside venography. Adequate venous cannulation was obtained through the anomalous vessel using a flexible catheter, allowing for an uneventful ECMO course. The epidemiology and embryology of this incidental anomaly are reviewed, and the methods used to circumvent the difficulties it presented in this case are described.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veia Cava Superior
/
Síndrome de Aspiração de Mecônio
/
Oxigenação por Membrana Extracorpórea
Limite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
1993
Tipo de documento:
Article