case_images: PMC11699858_01
case_images: Anterior posterior chest X-ray depicting the central venous catheter on the left side of the body as indicated by the black arrow.
case_images: jmc-16-001-g001.jpg
case_images: PMC11699858_01_jmc-16-001-g001.jpg
case_images: F1
case_images: A subsequent chest radiography showed that the CVC did not cross the thoracic midline into the right atrium, but rather traveled down into the left mediastinum (Fig. 1).
case_images: Blood drawn from the central venous catheter (CVC).
case_images: jmc-16-001-g002.jpg
case_images: PMC11699858_01_jmc-16-001-g002.jpg
case_images: F2
case_images: Blood samples drawn from the line noted that the blood was bright red (Fig. 2) and an ABG obtained from this sample was largely consistent with suspected arterial blood, with a pH of 7.39, PaCO2 of 30, PaO2 of 242, and HCO3 of 17.2.
case_images: Computed tomography axial images showing the course of the central line catheter. The white arrow shows the tip of the central line catheter in each image.
case_images: jmc-16-001-g003.jpg
case_images: PMC11699858_01_jmc-16-001-g003.jpg
case_images: F3
case_images: CVC was in fact not in the aorta, but rather that the patient had an anomalous pulmonary venous connection with veins from the left upper lobe draining into the left innominate vein (Figs. 3, 4). Considering this new information, the catheter was removed from the left internal jugular vein without complications.
case_images: Computed tomography coronal image showing the course of the central line catheter on the left chest. The white arrow shows the tip of the central line catheter.
case_images: jmc-16-001-g004.jpg
case_images: PMC11699858_01_jmc-16-001-g004.jpg
case_images: F4
case_images: CVC was in fact not in the aorta, but rather that the patient had an anomalous pulmonary venous connection with veins from the left upper lobe draining into the left innominate vein (Figs. 3, 4). Considering this new information, the catheter was removed from the left internal jugular vein without complications.