Vascular Access Conversation - IVUPDATE Podcast from IVTEAM

"The central venous catheter was misplaced. Initial management consisted of removal of the catheter. The diagnosis, partial anomalous pulmonary venous return, may pose a clinical therapeutic dilemma" de Smalen and Stoutjesdijk (2022).
Vascular anomaly diagnosis by CVC misplacement

Abstract:

Background: Congenital heart diseases rarely have a primary manifestation in adulthood. They are a rare cause of pulmonary hypertension in adults.

Case presentation: A 70-year-old woman of Eurasian descent underwent emergency surgery for bowel ischemia. Her history of mild pulmonary hypertension likely correlates with a peculiar diagnosis of an anatomic anomaly on the postoperative x-ray and computed tomography scan. The central venous catheter was misplaced. Initial management consisted of removal of the catheter. The diagnosis, partial anomalous pulmonary venous return, may pose a clinical therapeutic dilemma.

Conclusions: Partial anomalous pulmonary venous return is a potentially treatable cause of pulmonary hypertension. With the current trend toward more medical imaging, we expect this diagnosis to be made more often in the future.

Reference:

de Smalen PP, Stoutjesdijk MJ. Vascular anomaly diagnosis by central venous catheter misplacement: a case report. J Med Case Rep. 2022 Jun 22;16(1):259. doi: 10.1186/s13256-022-03467-8. PMID: 35729662; PMCID: PMC9215029.