AI Article Synopsis
- A routine chest X-ray in a postsurgical patient confirmed the placement of a left-sided internal jugular central venous catheter, which was incorrectly positioned, not crossing the midline.
- Arterial blood gas tests indicated better oxygen levels from the central catheter than from a peripheral sample, but a waveform reading showed venous pressure instead.
- A CT scan of the thorax revealed a partial anomalous pulmonary venous connection, where the left upper lobe pulmonary vein was draining into the innominate vein.
Article Abstract
Routine chest roentgenogram to confirm catheter placement in a postsurgical patient showed a left-sided internal jugular central venous catheter that did not appear to cross the midline. Arterial blood gas samples showed greater oxygenation from the central catheter as compared with the peripheral arterial sample. However, a transduced waveform showed a venous tracing and pressure. Computed tomographic scan of the thorax without intravenous contrast showed a partial anomalous pulmonary venous connection with drainage of the left upper lobe pulmonary vein into the innominate vein.
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| http://dx.doi.org/10.1016/j.jclinane.2014.05.006 | DOI Listing |
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