Central venous access: Accidental arterial puncture in a patient with right-sided aortic arch

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To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch.


Case report, clinical.


Community hospital, university-affiliated.


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. (Crit Care Med 1999;27:1025-1026)

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