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

Case contributed by Dr 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 hemiazygous vein. Injected contrast streams accross the midline into the azygous 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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Case information

rID: 49913
Case created: 9th Dec 2016
Last edited: 13th Aug 2017
Inclusion in quiz mode: Included

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