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Figure 1: shows the impossibility of the guide wire to reach the cardiac atrium.
Figure 2: represented the angiography of the chest left side and shows : a dextrocardia ( ), a thrombosed left internal jugular vein (1), a thrombosed left brachiocephalic vein (2), a free left superior vena cava (3), and a left azygos vein (4).
Figure 3: represented the angiography of the chest right side and shows: a free right jugular vein (5); and a free right brachiocephalic vein (6) connected to the LSVC.
Figure 4: shows a 12 french double lumen tunneled catheter placed through the right internal jugular.