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J Thorac Cardiovasc Surg 2004;127:1515-1516
© 2004 The American Association for Thoracic Surgery

Brief communication

Ectopic intra-aortic insertion of a subclavian central venous catheter: Case report and review of the literature

Mohamed I. Seleem, FRCS, MD, FACS, FICSa,*, Ahmed M. Al-Hashemy, FACHARTZa, Awaje Al-Naemi, MBBSa

a Department of Surgery, Armed Forces Hospitals, Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia

Received for publication October 24, 2003; accepted for publication November 3, 2003.

* Address for reprints: Mohamed Ismail Seleem, FRCS, MD, FACS, FICS, Department of Surgery, Armed Forces Hospitals, Southern Region, PO Box 101, Khamis Mushayt, Kingdom of Saudi Arabia
Saleem_1961@hotmail.com

The first 20% of the full text of this article appears below.


Dr M. I. Seleem


Clinical summary

A 70-year-old Saudi female patient with a known case of end-stage renal disease had been receiving regular hemodialysis for the last 6 years. She underwent left subclavian venous catheter insertion as a temporary form of access. During dialysis through the catheter, the attending nurse observed a very good flow to the machine but high resistance back to the circulation. An ectopic intra-arterial insertion of the catheter was suspected. Angiography through the catheter showed the tip of the catheter inside the aortic arch (Figure 1). Computed tomographic scanning confirmed the intra-aortic position of the catheter, with the point of entry at the root of the left common carotid artery (Figure 2). The patient underwent median sternotomy, removal of the catheter from the aortic arch, and closure of the entry site with a 2-0 . . . [Full Text of this Article]






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