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

    loading  Checking for direct PDF access through Ovid

Abstract

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

Related Topics

    loading  Loading Related Articles