title: Central venous access: accidental arterial puncture in a patient with right-sided aortic arch.
abstract: OBJECTIVE
  To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch.
  
  
  METHODS
  Case report, clinical.
  
  
  METHODS
  Community hospital, university-affiliated.
  
  
  CONCLUSIONS
  Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.
authors.affiliation: Department of Surgery, Cabrini Medical Center/The Mount Sinai School of Medicine, New York, NY 10003, USA.
authors.forename: M
authors.initials: M
authors.lastname: Ricci
authors.forename: A O
authors.initials: AO
authors.lastname: Puente
authors.forename: F
authors.initials: F
authors.lastname: Gusmano
authors.forename: R
authors.initials: R
authors.lastname: LaRaja
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000293:injuries*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods; D014057:Tomography, X-Ray Computed; D014159:Transducers; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging*