Transpleural subclavian central venous catheter placement in a child with scoliosis discovered during a thoracotomy.
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.
Ghafoor
Abid U
AU
Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA. abid4@hotmail.com
Mayhew
James F
JF
Gentry
W Brooks
WB
Schmitz
Michael L
ML
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