Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2023; 11(32): 7858-7864
Published online Nov 16, 2023. doi: 10.12998/wjcc.v11.i32.7858
Persistent left superior vena cava in right hemiarch replacement under deep hypothermic circulatory arrest: A case report
Ze-Yu Mi, Gang He, Hong-Li Gao, Chao Li
Ze-Yu Mi, Gang He, Chao Li, Department of Cardiac Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China
Hong-Li Gao, Department of Ultrasound Medicine, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China
Author contributions: Mi ZY contributed to manuscript writing and editing, and data collection; He G and Gao HL contributed to data analyses; Li C contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported by Technology Innovation and Application Development Project of Chongqing, No. 2021yc-cxfz30016.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao Li, MM, MMed, Associate Chief Physician, Associate Professor, Department of Cardiac Surgery, Yongchuan Hospital of Chongqing Medical University, No. 439 Xuanhua Road, Yongchuan District, Chongqing 402160, China. lichao8080@126.com
Received: September 21, 2023
Peer-review started: September 21, 2023
First decision: October 9, 2023
Revised: October 17, 2023
Accepted: November 3, 2023
Article in press: November 3, 2023
Published online: November 16, 2023
Core Tip

Core Tip: Persistent left superior vena cava (PLSVC) is a malformation that can coexist with the right superior vena cava without causing an imbalance in the hemodynamics, thereby concealing its detection during clinical consultation. We describe the case of a patient with an aortic arch aneurysm who also had PLSVC. When replacing the right hemiarch under deep hypothermic circulatory arrest, we utilized a “bilateral superior vena cava retrograde cerebral perfusion (RCP)” approach to PLSVC. The patient was discharged 14 d postoperatively without any complications. To the best of our knowledge, RCP via the bilateral superior vena cava has not previously been reported.