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[Unusual aberrant location of a left internal jugular catheter]
Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1984
Insights
A rare complication of central venous catheterization occurred in the left superior diaphragmatic vein. Portal hypertension may have contributed to this exceptional venous access issue.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Central venous catheterization is a common procedure.
- Aberrant catheter placement is a known complication.
- Left internal jugular vein access is frequently utilized.
Observation:
- A case of left superior diaphragmatic vein catheterization is presented.
- This represents an exceptional aberrant location.
- The patient had underlying portal hypertension.
Findings:
- The left superior diaphragmatic vein is an unusual site for central venous catheterization.
- Portal hypertension may predispose to such aberrant placements.
- This complication highlights the importance of anatomical awareness.
Implications:
- Careful anatomical assessment is crucial during central venous catheterization.
- Understanding risk factors like portal hypertension can prevent complications.
- This case expands the spectrum of known central venous catheterization complications.
Abstract:
Although aberrant locations were classical complications of central venous catheterization, the left superior diaphragmatic vein was an exceptional one. A case of this particular complication occurring after left internal jugular venous catheterization is described. The venous dilatation due to portal hypertension was probably partly responsible for this.