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Journal of Case Reports
Accidental Cannulation of Left Superior Intercostal Vein: A Rare Instance of Central Venous Catheter Malpositioning
Srinath Shankar Rathod1, Gopal Sharma2
1Department of General Surgery, Shalby Hospital, Mohali, Punjab; 2Department of General Surgery,  University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India. 
Corresponding Author:
Dr. Srinath SR
Email: srinath226@gmail.com
Received: 11-MAR-2018 Accepted: 7-MAY-2018 Published Online: 10-JUN-2018
DOI: http://dx.doi.org/10.17659/01.2018.0039
Background: Central venous catheter (CVC) placement plays an important role in the management of critically ill patients. Complication rates have been reduced with the use of image guidance for their placement. Sometimes, particularly in emergency situation or due to lack of image guidance accidental malpositioning of these catheters can occur further adding to morbidity of the critically ill patients. Case Report: Herein we report a case of CVC placement into left superior intercostal vein during a left sided internal jugular vein (IJV) CVC placement. Conclusion: High index of suspicion along with thorough knowledge of anatomy is required to early detect malposition of central venous catheter.
Keywords : Brachiocephalic Veins, Central Venous Catheters, Critical Illness, Jugular Veins.
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