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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e37-e39
DOI: 10.1055/s-0040-1715432
Case Report: Cardiac

Partial Anomalous Pulmonary Venous Return Diagnosed by Central Catheter Misplacement

Lena Reichert
1   Department of Cardiothoracic Surgery, SHG-Kliniken Voelklingen, Voelklingen, Germany
,
Ioannis Bougioukas
1   Department of Cardiothoracic Surgery, SHG-Kliniken Voelklingen, Voelklingen, Germany
,
Ralf Seipelt
1   Department of Cardiothoracic Surgery, SHG-Kliniken Voelklingen, Voelklingen, Germany
,
Hanno Huwer
1   Department of Cardiothoracic Surgery, SHG-Kliniken Voelklingen, Voelklingen, Germany
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Abstract

Anomalous venous connections of the left lung can either affect all of the veins or only the upper lobe. They mostly drain into the innominate vein. We present the case of a patient who underwent a coronary bypass operation and was prepared with insertion of central lines including Swan-Ganz catheter through both the internal jugular veins. Blood gas analysis obtained from these catheters suggested the presence of a left-to-right shunt. CT (computed tomography) imaging confirmed a pulmonary venous anomaly with misplacement of the left-sided catheter in an abnormal pulmonary vein. Such a rare condition can be suspected by obtaining arterialized blood samples and measuring the mean pressure through central catheters.

Keyword

pulmonary veins - surgery - cardiac anatomy


Publication History

Received: 01 May 2020

Accepted: 27 May 2020

Article published online:
22 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Stuttgart · New York

 

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