title: Transpleural subclavian central venous catheter placement in a child with scoliosis discovered during a thoracotomy.
abstract: Placement of central venous catheters in dysmorphic children can be difficult because of distortion of normal anatomical landmarks. We present such a case of a 16 year-old child who had a central venous catheter inserted in the left subclavian vein. Although a conventional roentgenogram was consistent with correct placement, the catheter was found to traverse the pleural space before entering the subclavian vein.
authors.affiliation: Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA. abid4@hotmail.com
authors.forename: Abid U
authors.initials: AU
authors.lastname: Ghafoor
authors.forename: James F
authors.initials: JF
authors.lastname: Mayhew
authors.forename: W Brooks
authors.initials: WB
authors.lastname: Gentry
authors.forename: Michael L
authors.initials: ML
authors.lastname: Schmitz
mesh_terms: D000293:Adolescent; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D035422:Pleural Cavity / Q000000981:diagnostic imaging; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013350:Subclavian Vein; D013908:Thoracotomy