Partial anomalous pulmonary venous return: iatrogenic occlusion of the innominate vein producing right-to-left shunt.
A patient experienced acute dyspnea and hypoxia upon removal of a thrombosed peripherally inserted central venous catheter. This was shown to be caused by innominate vein occlusion complicated by a right-to-left shunt, via an anomalous pulmonary vein, causing arterial desaturation. A stent was placed in the occluded innominate vein and arterial saturation returned to normal.
Levy
Jonathan M
JM
Department of Diagnostic Radiology, University of Arizona, Tucson, USA. jlevy@esmil.net
Smyth
Stephen H
SH
D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography; D015607:Stents