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{
    "pk": 934,
    "title": "Case Report of a Left-sided Superior Vena Cava Causing Unique Positioning of Central Line",
    "subtitle": null,
    "abstract": "Introduction:\n Persistent left-sided superior vena cava is a rare congenital venous malformation. While often clinically asymptomatic, these variations in normal anatomy may give rise to complications with central venous catheter placement.\nCase Report:\n We present a case of a 71-year-old male who presented to the emergency department with sepsis of unknown etiology. A right-sided central venous catheter was placed, and due to a persistent left-sided superior vena cava the post-procedure chest radiograph showed a uniquely positioned catheter tip within the left atrium.\nConclusion:\n A persistent left-sided superior vena cava may lead to uniquely positioned catheter tip placement on post-procedural imaging. This case demonstrates the need to consider variants in normal venous anatomy, such as persistent left-sided superior vena cava, to aid with correct interpretation of post-procedure imaging findings.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Left sided superior vena cava"
        },
        {
            "word": "congenital venous malformation"
        },
        {
            "word": "malpositioned central venous catheter"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3mm7s6h1",
    "frozenauthors": [
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Mancera",
            "name_suffix": "",
            "institution": "University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Genthe",
            "name_suffix": "",
            "institution": "University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Lepa",
            "name_suffix": "",
            "institution": "University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-10T10:26:05+08:00",
    "date_accepted": "2020-10-10T10:26:05+08:00",
    "date_published": "2020-10-10T10:26:44+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/934/galley/682/download/"
        }
    ]
}