Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management

Area of Science:

• Cardiology
• Radiology
• Medical Devices

Background:

• Central venous line insertion is a common procedure.
• Line malposition is a known complication.
• Anomalous pulmonary venous return is a rare congenital anomaly.

Observation:

• A 56-year-old woman presented for central venous line insertion.
• The central venous line was unexpectedly mal-positioned.
• Imaging revealed the catheter tip within an anomalous pulmonary vein.

Findings:

• The patient was diagnosed with partial anomalous pulmonary venous return (PAPVR).
• This case represents a rare instance of central venous line malposition in PAPVR.
• A systematic diagnostic and management approach was employed.

Implications:

• Highlights the importance of recognizing rare anatomical variations during line placement.
• Emphasizes the need for vigilance and appropriate imaging in suspected malpositions.
• Provides insights into managing central venous access in patients with PAPVR.