Abstract
Central Venous Catheters (CVC) fill an essential part of treatment with Bacteremia and shock patients in intensive care units. as part of treatment, a 73 years old patient hospitalized due to shock and MSSA bacteremia a CVC needed replacement and a new catheter inserted in the left internal jugular vein. A CXR performed after line insertion shows an unexpected route descending to the left upper mediastinum and suspected to be erroneously placed in the descending aorta. a previous chest computed tomography showed a small persistent left superior vena cava draining in the coronary sinus. In this paper we discuss the dilemma of location and utilization of a CVC in hemodynamically unstable patient.
Author contributions
Our paper was a result of a cooperative effort. I am, Nadeem Shorbaji M.D., the radiologist reviewing the imaging of our patient and analyzing the computed tomography, together with Asaf Miller M.D., the head of intensive care, assessed the blood works and managed the insertion and utilization of the central venous catheter.
Disclosure statement
To the best of our knowledge, no conflict of interest, financial or other, exists.