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Malposition of the Central Venous Catheter: A Diagnostic Dilemma
A 50-year-old male was admitted to Intensive Care Unit with head and chest injury needed multiple central venous catheter (CVC) for the long-term intravenous access. Right internal jugular vein was cannulated uneventfully, and the tip of CVC was confirmed in the chest radiograph along the right bord...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5416794/ https://www.ncbi.nlm.nih.gov/pubmed/28515611 http://dx.doi.org/10.4103/ijccm.IJCCM_338_14 |
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author | Desai, Sameer N. Dasar, Santosh K. Mithali, V |
author_facet | Desai, Sameer N. Dasar, Santosh K. Mithali, V |
author_sort | Desai, Sameer N. |
collection | PubMed |
description | A 50-year-old male was admitted to Intensive Care Unit with head and chest injury needed multiple central venous catheter (CVC) for the long-term intravenous access. Right internal jugular vein was cannulated uneventfully, and the tip of CVC was confirmed in the chest radiograph along the right border of the mediastinum. After few days, left subclavian vein was cannulated and the procedure was uneventful. However, the postprocedure Chest X-ray showed the CVC along the left border of mediastinum rather than the right border. Possibility of CVC in one of the tributaries of left brachiocephalic vein was thought. Due to uncertainty in position of left CVC, we inserted CVC in right-sided subclavian vein, which was in normal position along the right border of mediastinum. Left subclavian CVC was removed. Reviewing the patient's thoracic computed tomography scan revealed, patient had congenital anomaly and double superior vena cava that explained the abnormal course of left subclavian CVC along the left border of mediastinum. |
format | Online Article Text |
id | pubmed-5416794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-54167942017-05-17 Malposition of the Central Venous Catheter: A Diagnostic Dilemma Desai, Sameer N. Dasar, Santosh K. Mithali, V Indian J Crit Care Med Case Report A 50-year-old male was admitted to Intensive Care Unit with head and chest injury needed multiple central venous catheter (CVC) for the long-term intravenous access. Right internal jugular vein was cannulated uneventfully, and the tip of CVC was confirmed in the chest radiograph along the right border of the mediastinum. After few days, left subclavian vein was cannulated and the procedure was uneventful. However, the postprocedure Chest X-ray showed the CVC along the left border of mediastinum rather than the right border. Possibility of CVC in one of the tributaries of left brachiocephalic vein was thought. Due to uncertainty in position of left CVC, we inserted CVC in right-sided subclavian vein, which was in normal position along the right border of mediastinum. Left subclavian CVC was removed. Reviewing the patient's thoracic computed tomography scan revealed, patient had congenital anomaly and double superior vena cava that explained the abnormal course of left subclavian CVC along the left border of mediastinum. Medknow Publications & Media Pvt Ltd 2017-04 /pmc/articles/PMC5416794/ /pubmed/28515611 http://dx.doi.org/10.4103/ijccm.IJCCM_338_14 Text en Copyright: © 2017 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Desai, Sameer N. Dasar, Santosh K. Mithali, V Malposition of the Central Venous Catheter: A Diagnostic Dilemma |
title | Malposition of the Central Venous Catheter: A Diagnostic Dilemma |
title_full | Malposition of the Central Venous Catheter: A Diagnostic Dilemma |
title_fullStr | Malposition of the Central Venous Catheter: A Diagnostic Dilemma |
title_full_unstemmed | Malposition of the Central Venous Catheter: A Diagnostic Dilemma |
title_short | Malposition of the Central Venous Catheter: A Diagnostic Dilemma |
title_sort | malposition of the central venous catheter: a diagnostic dilemma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5416794/ https://www.ncbi.nlm.nih.gov/pubmed/28515611 http://dx.doi.org/10.4103/ijccm.IJCCM_338_14 |
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