Veine Cave Supérieure Gauche : à Propos de Trois Cas

Jean Claude Mballa Amougou, Jérémie Mbo Amvene, Bonaventure Jemea, Eric Magny Tiam, Alain Menanga, P Kaze Folefack, Christian Ouankou Ngongang, Brian Mbuagbaw, David Tagny Zukam, Samuel Nko'o Amvene

Abstract


RÉSUMÉ
Le but de ce travail était de rapporter trois cas de veine cave supérieure gauche.
Les trois cas étaient de découverte fortuite lors de la réalisation des examens tomodensitométriques du thorax avec injection de produit de contraste iodé. La 1ère observation est celle d’une patiente de 36 ans porteuse de double veine cave supérieure, la deuxième, celle d’un patient de 56 ans porteur d’une veine cave supérieur gauche et la troisième est une patiente de 21 ans avec une double veine cave supérieure associée à une coarctation de l’aorte et une naissance commune des artères carotides. Nous discuterons des examens radiologiques, la signification clinique, l'anatomie et l'embryologie de cette anomalie ainsi que l’historique. En définitive la connaissance de l’existence de cette variante anatomique par le personnel médical en particulier les grands utilisateurs des voies centrales, peut amener à éviter les complications graves lors des cathétérismes veineux.

ABSTRACT
The aim was to report three cases of superior left vena cava. The three cases were fortuitous discovery during the performance of CT scan examinations of the thorax with injection of iodinated contrast medium. The first observation is that of a 36 years old woman with a superior vena cava, the second is a 56 years old patient with a left superior vena cava, and the third is a 21years old patient with a double superior vena cava. superior vena cava associated with coarctation of the aorta and a common birth of carotid arteries. We will discuss the radiological examinations, the clinical significance, the anatomy and embryology of this anomaly as well as the history. The knowledge of the existence of this anatomical variant by the medical staff, particularly the major users of the central pathways, may lead to avoid serious complications during venous catheterization.

Keywords


cathétérisme – angioscanner - veine cave supérieure gauche

Full Text:

PDF

References


Sarodia BD, Stoller JK. Persistent left superior vena cava: case report and literature review. Respir Care. 2000 Apr;45(4):411-6.

Schummer W, Schummer C, Fröber R. Persistent left superior vena cava and central venous catheter position: clinical impact illustrated by four cases. Surg Radiol Anat. 2003 Jul-Aug; 25(3-4):315-21.

Bunger PC, Neufeld DA, Moore JC et al (1981) Persistent left superior vena cava and associated structural and functional considerations. Angiology 32:601–608.

Haapaniemi L. Slatis P: Supra clavivular cathetherisation of the superior vena cava. Acta Anaesthesiol Scand 1974; 18: 12–22.

Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal jugular versus subclavian access a systematic review. Crit Care Med 2002; 30: 454–460.

Waldemar I, Piotr G, Jaroslaw K. Haemothorax as a complication of subclavian vein cannulation with a haemodialysis: a case report. Anaesthesiology Intensive Therapy 2013, vol. 45, no 2, 89–92. ISSN 1642–5758.

Shi-Min Y, Raanani E, Shinfeld A, Kogan A. Persistent left and absent right superior vena cava. 2008, vol 66; pp 1300-1301 prevalence 0.1 à 0.5

Marshall J: On the development of the great anterior veins in man and mammalia; including an account of certain remnants of foetal structure found in the adult, a comparative view of these great veins in the different mammalia, and an analysis of their occasional peculiarities in the human subject.Phil Trans Royal Soc 1850, 140:133-170.

Couvreur T, Ghaye B. Left superior vena cava. In Integrated Cardiothoracic Imaging with MDCT from Medical Radiology • Diagnostic Imaging and Radiation Oncology series. 1st edition. Edited by Rémy-Jardin M, Rémy J. Berlin • Heidelberg: Springer-Verlag; 2009:289-305.

Parikh SR1, Prasad K, Iyer RN, Desai N, Mohankrishna L. Prospective angiographic study of the abnormalities of systemic venous connections in congenital and acquired heart disease.

Buirski G, Jordan SC, Joffe HS et al. (1986) Superior vena cava abnormalities: their occurrence rate associated cardiac abnormalities and angiographic classification in a paediatric population with congenital heart disease. ClinRadiol37:131–138

Hansell DM, Armstrong P, Lynch DA et al. (2004).The normal chest. In: Hansell DM, Armstrong P, Lynch DA, McAdams HP (eds) Imaging of diseases of the chest, 4th edn, pp 27–67

Ghadiali N, Teo LM, Sheah K. (2006). Bedside confirmation of a persistent left superior vena cava based on aberrantly positioned central venous catheter on chest radiograph. British Journal of Anaesthesia, 96(1), 53–6. doi:10.1093/bja/aei272

Kellman GM, Alpern MB, Sandler MA et al. (1988) Computed tomography of vena cava anomalies with embryologic correlation. Radiographics 8:533–556.

Ancel P, Villemin F: Sur la persistance de la veine cave supérieure gauche chez l'homme. Journal de l'anatomie et de la physiologie normale et pathologique de l'homme et des animaux 1908, 44:46-62.

Erdoğan M, Karakaş P, Uygur F, Meşe B, Yamak B, Bozkir MG: Persistent left superior vena cava: the anatomical and surgical importance. West Indian Med J 2007, 56:72-76.

Gensini GG, Caldini P, Casaccio F et al. (1959) Persistent left superior vena cava. Am J Cardiol 4:677–685

American College of Surgeons Website: ST-60: Revised statement on recommendations for use of real-time ultrasound guidance for placement of central venous catheters.[http://www.facs.org/fellows_info/ statements/st-60.html], (last revised by the American College of Surgeons Committee on Perioperative Care and approved by the Board of Regents in February 2011).


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

********************************************************************************************