Document Detail

Central venous access: accidental arterial puncture in a patient with right-sided aortic arch.
MedLine Citation:
PMID:  10362432     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch. DESIGN: Case report, clinical. SETTINGS: Community hospital, university-affiliated. CONCLUSIONS: Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.
M Ricci; A O Puente; F Gusmano; R LaRaja
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  27     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-06-23     Completed Date:  1999-06-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1025-6     Citation Subset:  AIM; IM    
Department of Surgery, Cabrini Medical Center/The Mount Sinai School of Medicine, New York, NY 10003, USA.
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MeSH Terms
Aorta, Thoracic / abnormalities*,  injuries*
Catheterization, Central Venous / adverse effects*
Congenital Abnormalities / radiography
Monitoring, Intraoperative / methods
Radiography, Interventional / methods
Tomography, X-Ray Computed
Wounds, Penetrating / radiography*
Comment In:
Crit Care Med. 2000 Jul;28(7):2676-7   [PMID:  10921629 ]
Crit Care Med. 2000 Jul;28(7):2676   [PMID:  10921628 ]
Crit Care Med. 1999 May;27(5):878-9   [PMID:  10362407 ]
Crit Care Med. 2000 Jul;28(7):2677-8   [PMID:  10921630 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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