title: Partial anomalous pulmonary venous return: iatrogenic occlusion of the innominate vein producing right-to-left shunt.
abstract: 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.
authors.affiliation: Department of Diagnostic Radiology, University of Arizona, Tucson, USA. jlevy@esmil.net
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Levy
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Smyth
mesh_terms: 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