A 68-year-old Caucasian woman was admitted to the Department for construction of vascular access for dialysis after thrombosis of arteriovenous fistula. Temporary dialysis catheter was inserted in the left internal jugular vein while she had permanent pacemaker implanted on the right thoracic side. The patient signalized pain in the left breast. Postprocedural chest x-ray revealed that the cath...

Atrial septal defects (ASDs) are a common congenital abnormality, and operative repair is a routine, safe procedure. Diversion of the inferior vena cava (IVC) into the left atrium is an unusual complication following ASD closure. We report a case that illustrates the problem created by this right-to-left shunt. A middle-aged woman underwent ASD repair. She developed hypoxemia postoperatively. A...

Critical congenital pulmonary stenosis with intact interventricular septum is a cyanotic and potentially lethal neonatal cardiac anomaly. Percutaneous transcatheter balloon valvuloplasty for critical often presents technical difficulties due to supra-systemic pressure in right ventricle. Using transjugular approach instead of the femoral vein helps dealing this issue. We describe successful use...

Spontaneous femoral artery pseudoaneurysm is a rare disease and reported cases are very few. Most of them are related to underlying pathology either atherosclerotic disease or connective tissue disease. We present a 29-year-old healthy man with two months history of a painful pulsating mass at the level of the lower right thigh without any previous history of trauma, surgery or puncture of the ...

The percutaneous femoral vein approach is used routinely for cardiac catheterization in the pediatric age but in some children, it may be impossible as in the case of iliac vein or inferior vena cava thrombosis due to previous cardiac catheterization, or inconvenient as for right ventricular endomyocardial biopsies. In the period between 1982 and 1990, 160 cardiac catheterizations or right vent...

HARALDUR BJARNASON, MD The key to successful inferior vena cava (IVC) and iliac vein recanalization is to understand the anatomy. One must take into account the overall anatomic situation, inflow and outflow, or more precisely, the health of the common femoral veins and feeding veins (profunda and femoral), as well as the cephalic extension of the obstruction. It is therefore crucial to have go...

Introduction Left innominate stricture or stenosis after hemocatheter insertion or pacemaker lead insertion is not an uncommon vascular complication. However, spontaneous left innominate venous stricture has not been reported. We present a case with spontaneous left innominate vein stenosis in a patient with history of open heart surgery during pacemaker implantation. Retrograde channel from th...

BACKGROUND Femoral venous access is an essential part of patient care in the emergency department (ED). However, current medical literature and texts have not dealt with it much using actual patient anatomy. OBJECTIVES This study aimed to show that manipulation of the lower extremities may alter the anatomy to a more favorable position for cannulation. METHODS Ultrasound examination was con...

The classic transvenous implantation of a permanent pacemaker in a pectoral location may be precluded by obstruction of venous access through the superior vena cava or recent infection at the implant site. When these barriers to the procedure are bilateral and there are also contraindications or technical difficulties to performing a thoracotomy for an epicardial approach, the femoral vein, alt...