Accidental placement of an infusaport into the pulmonary artery: Case report and review of the literature.

ABSTRACT:

Background

Misplacement of central venous catheters (CVC) may have devastating consequences.

Patients and methods

Placement of a CVC into the pulmonary artery (PA) and management of the complication is described. Literature search for accidental direct placement of CVCs into the PA was performed.

Results

A 46 year old morbidly obese female required an infusaport for chemotherapy. She was anaesthetized and placed in Trendelenburg. Three attempts to access the left subclavian vein (LSCV) using landmarks failed. In steeper Trendelenburg, a blood vessels was accessed. Non pulsatile dark blood was aspirated, a guidewire was easily advanced. Fluoroscopy projected the guidewire tip over the right atrium; infusaport placement was without difficulties. Postoperative chest x-ra

SUBMITTER: Bonatti HJR 

PROVIDER: S-EPMC6279962 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature