case_images: PMC5290679_01
case_images: Bicaval view on transesophageal echocardiograph showing absent right superior vena cava
case_images: ACA-20-104-g001.jpg
case_images: PMC5290679_01_ACA-20-104-g001.jpg
case_images: F1
case_images: However, bicaval TEE view showed neither the distal end of CVC nor the right superior vena cava (RSVC) [Figure 1].
case_images: Mid-esophageal view on transesophageal echocardiograph. Echo contrast in the left superior vena cava located lateral to the left atrium, after injection of agitated saline into the RIJV. RIJV: Right internal jugular vein
case_images: ACA-20-104-g002.jpg
case_images: PMC5290679_01_ACA-20-104-g002.jpg
case_images: F2
case_images: The flow of the contrast was first noted in the LSVC [Figure 2], CS, and then in the right atrium (RA). Figure 2 (TEE mid-esophageal view) shows the echo contrast in the LSVC lying just lateral to the LA.
case_images: Surgical field showing absent right superior vena cava
case_images: ACA-20-104-g003.jpg
case_images: PMC5290679_01_ACA-20-104-g003.jpg
case_images: F3
case_images: During surgery, it was observed that the RSVC was absent [Figure 3].
case_images: The heart is turned to right. Left superior vena cava in the operative field
case_images: ACA-20-104-g004.jpg
case_images: PMC5290679_01_ACA-20-104-g004.jpg
case_images: F4
case_images: The LSVC joined by the right brachiocephalic vein was large and prominent [Figure 4].
case_images: Chest X-ray showing the course (arrows) of central venous catheter
case_images: ACA-20-104-g005.jpg
case_images: PMC5290679_01_ACA-20-104-g005.jpg
case_images: F5
case_images: In the postoperative chest X-ray [Figure 5], the course of CVC was from RIJV through the innominate vein to the LSVC.