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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...

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Autores principales: Desai, Sameer N., Dasar, Santosh K., Mithali, V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
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.
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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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