case_images: PMC3040432_01
case_images: Photograph shows images of the patient monitor, showing the tabular presentation of serial changes in hemodynamic parameters. Numbers in rectangles indicates the same values of mean arterial pressure and central venous pressure.
case_images: kjae-60-47-g001.jpg
case_images: PMC3040432_01_kjae-60-47-g001.jpg
case_images: F1
case_images: Approximately 50 minutes after the surgery began, the pressure waveform from the central venous catheter changed abruptly into what was seemingly an arterial waveform, with a mean pressure of 61 mmHg, almost same to the mean arterial pressure of 62 mmHg (Fig. 1).
case_images: Echocardiograph shows that a central venous catheter (arrow) is inserted into the aorta.
case_images: kjae-60-47-g002.jpg
case_images: PMC3040432_01_kjae-60-47-g002.jpg
case_images: F2
case_images: Furthermore, the catheter was apparent in the aortic arch on TEE (Fig. 2). Fluid infusion was immediately stopped, and the catheter was removed when the surgery was completed.