Aberrant positioning of a central venous dialysis catheter to reveal a left-sided partial anomalous pulmonary venous connection

Case report

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Authors: Manohar R Chintu, Shammikumar Chinnappa, Sunil Bhandari

Published Date September 2008 Volume 2008:4(5) Pages 1141 - 1143

DOI: http://dx.doi.org/10.2147/VHRM.S2099

Manohar R Chintu, Shammikumar Chinnappa, Sunil Bhandari

Department of Nephrology, Hull and East Yorkshire Hospitals NHS Trust, Kingston upon Hull, United Kingdom

Abstract: We describe the identification of a rare, left-sided, partial anomalous pulmonary venous connection during routine central venous catheterization. To our knowledge, this is the first report in the literature to describe this anomaly in a hemodialysis patient. A young man had anomalous connection of the veins draining the upper lobe of the left lung and left innominate vein. Our case demonstrates the importance of routine fluoroscopy during insertion of central venous catheters to detect these anomalies and minimize complications.

Keywords: hemodialysis, central venous catheters, fluoroscopy, anomaly, veins