|
| 만성 신부전 환자에서 지속성 좌상대정맥을 통한 혈액투석용 쇄골하정맥 도관 삽입 |
| 김영옥 , 전희경 , 한충민 , 박태욱 , 김지연 , 윤선애 , 김남일 , 송하헌 , 박석희 , 방병기 |
|
|
| Abstract |
|
A persistent left superior vena cava(SVC) is found in about 0.3% of healthy individuals and 4.3% of patients with congenital heart disease. This ano- maly is most frequently found in conjunction with a right-sided SVC, but may also be solitary. Recently, we experienced a case of persistent left SVC in patient with chronic renal failure. He required sub- clavian catheterization for hemodialysis due to leak- age of peritoneal dialysate into external genitalia and pleural cavity. Because he had had a history of right subclavian catheterization for hemodialysis 3 months ago, the hemodialysis catheter was inserted in the left subclavian vein without any complication. Chest X-ray after insertion of the catheter showed that the distal tip of the catheter seemed to be within the aorta. Venography showed that the catheter was located within the left SVC and MRI showed isolat- ed two SVC. He is receiving hemodialysis through the left subclavian catheter which is positioned within the left SVC without any problem. |
|
PDF Links
Download Citation
