title: A rare central venous catheter malposition: a case report.
abstract: BACKGROUND
  Central venous catheter placement is a routine procedure for the management of critically ill patients; however, it is important to ensure its proper placement. A central venous catheter malposition may cause various complications, some of which can be fatal.
  
  
  METHODS
  We report an unexpected malposition of a catheter in the left internal jugular vein, where it entered into the left internal mammary vein.
  
  
  CONCLUSIONS
  We think one of the influential factors for leading a guidewire and catheter into a nominated vein may be the left sided bevel of the needle at the time of internal jugular vein needle and catheter insertion. We were required to continue going towards the subclavian vein and accidentally turned into the left internal mammary vein.
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Ali Asghar
authors.initials: AA
authors.lastname: Moeinipour
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Amouzeshi
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Marjan
authors.initials: M
authors.lastname: Joudi
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Fathi
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Saeed
authors.initials: S
authors.lastname: Jahanbakhsh
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Saeed
authors.initials: S
authors.lastname: Hafez
authors.affiliation: Department of Radiologic Technology, Faculty of Paramedicine Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Azra
authors.initials: A
authors.lastname: Izanloo
authors.affiliation: Department of Cardiac Surgery, Imam reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Khorsand
keywords: Catheters; Catheters, Indwelling; Central Venous Catheter; Vascular Access Devices; Venous Pressure