Central line in the accessory hemiazygos vein via the left superior intercostal vein

Case contributed by Assoc Prof Craig Hacking

Presentation

Post CVL insertion

Patient Data

Age: 27 week prem

A small bolus of iodinated contrast was injected through the newly inserted left subclavian CVL at the time of X-ray acquisition. The CVL passes from the left brachiocephalic vein into the left superior intercostal vein and then the accessory hemiazygos vein. Injected contrast streams across the midline into the azygos vein and arch.

NGT in stomach. UVC in ductus venosus. Stable granular opacification in the lungs in keeping with known HMD. Resolving medial right PTX.

Case Discussion

Malposition of a CVL in a neonate. It was repositioned correctly.

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