Left-sided superior vena cava complicates central line insertion

A CT thorax revealed the patient had two SVCs, and the patient’s left-sided SVC had been unintentionally catheterised” Gallaher and Somasundaram (2019)

Extract:

“A 39-year-old man with necrotising pancreatitis was admitted to the intensive care unit (ICU). On day 14, his right-sided central venous catheter (CVC) was replaced with a left-sided catheter. A confirmatory chest X-ray revealed that rather than charting its usual course across the left brachiocephalic vein into the superior vena cava (SVC), the catheter journeyed straight down into the left atrium (figure 1). A CT thorax (figure 2) revealed the patient had two SVCs, and the patient’s left-sided SVC had been unintentionally catheterised.”

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Reference:

Gallaher, J.A. and Somasundaram, K. (2019) Left-sided superior vena cava complicates central line insertion. BMJ Case Reports. 12(5), p.e228474. doi: 10.1136/bcr-2018-228474.

Safety IV catheter