Hydromediastinum after aberrant central venous catheter placement.
After central venous catheter placement via the right subclavian route, a hydromediastinum was produced. Aberrant placement of the catheter was undiscovered for 13-1/2 hours despite clinical and radiographic signs. Careful interview of the patient and analysis of postcatheterization chest radiographs are imperative in order to avoid catastrophic consequences of aberrant catheter placement.
D002404:Catheterization / Q000009:adverse effects* / Q000379:methods; D002496:Central Venous Pressure; D004487:Edema / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011859:Radiography; D013350:Subclavian Vein