Persistent left superior vena cava (PLSVC) is a rare congenital anomaly. We presented PLSVC in a patient with end-stage renal disease (ESRD) requiring hemodialysis. The left internal jugular vein was utilized for central venous access due to difficult central vascular access, resulting in a diagnosis of PLSVC draining in the left atrium. This case underscores the importance of awareness of anatomical variations before central catheter placement.
Keywords: Central venous catheterization; Chest X-ray; End-stage renal disease; Left atrium; Persistent left superior vena cava.
© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.