Document Detail

Partial anomalous pulmonary vein drainage of the left lower lobe: incidental diagnostic after central venous cannulation.
MedLine Citation:
PMID:  12682503     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report a case of partial anomalous pulmonary vein drainage of the left lower lobe diagnosed after central venous cannulation. DESIGN: Retrospective case review. SETTING: Intensive care unit. PATIENT: A 76-yr-old woman with obstructive acute renal failure requiring hemodialysis. INTERVENTIONS: Central venous cannulation and hemodialysis. MEASUREMENTS AND MAIN RESULTS: The diagnosis was suggested by chest radiography after placement of a central venous catheter through the left internal jugular vein. Pressure measurements at the tip of the catheter showed a venous waveform. Oxygen blood content on samples of blood was higher than on peripheral arterial blood. Computed tomography with intravenous contrast was not conclusive. Diagnosis was confirmed with transcatheter phlebography. CONCLUSIONS: It is important for the intensivist to be aware of this infrequent variant when a central venous catheter takes an abnormal route and drains low-pressure, arterialized blood.
G Sobrinho; J Salcher
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  31     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-08     Completed Date:  2003-05-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1271-2     Citation Subset:  AIM; IM    
Unidade de Urgência Médica, Hospital de São José, Lisboa, Portugal.
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MeSH Terms
Catheterization, Central Venous*
Jugular Veins
Pulmonary Veins / abnormalities*,  radiography
Radiography, Thoracic

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

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