Vascular anomaly diagnosis by central venous catheter misplacement: a case report

Background Congenital heart diseases rarely have a primary manifestation in adulthood. They are a rare cause of pulmonary hypertension in adults. Case presentation A 70-year-old woman of Eurasian descent underwent emergency surgery for bowel ischemia. Her history of mild pulmonary hypertension likel...

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Bibliographic Details
Published in:Journal of medical case reports 2022-06, Vol.16 (1), p.1-259, Article 259
Main Authors: de Smalen, Peter Paul, Stoutjesdijk, Mark Jeroen
Format: Article
Language:English
Subjects:
Abdomen
Asymptomatic
Cardiac vascular anatomy
Cardiovascular disease
Case Report
Case reports
Catheters
Central venous catheter
Clopidogrel
Congenital diseases
Congenital heart disease
CT imaging
Diagnostic imaging
Genetic disorders
Health aspects
Heart
Heart diseases
Intensive care
Intubation
Ischemia
Laparotomy
Leukemia
Magnetic resonance imaging
Medical diagnosis
Medical imaging
Medical imaging equipment
Patients
Pulmonary arteries
Pulmonary hypertension
Stroke
Surgery
Thrombosis
Tomography
Trends
Veins & arteries
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Summary:Background Congenital heart diseases rarely have a primary manifestation in adulthood. They are a rare cause of pulmonary hypertension in adults. Case presentation A 70-year-old woman of Eurasian descent underwent emergency surgery for bowel ischemia. Her history of mild pulmonary hypertension likely correlates with a peculiar diagnosis of an anatomic anomaly on the postoperative x-ray and computed tomography scan. The central venous catheter was misplaced. Initial management consisted of removal of the catheter. The diagnosis, partial anomalous pulmonary venous return, may pose a clinical therapeutic dilemma. Conclusions Partial anomalous pulmonary venous return is a potentially treatable cause of pulmonary hypertension. With the current trend toward more medical imaging, we expect this diagnosis to be made more often in the future. Keywords: Congenital heart disease, Cardiac vascular anatomy, Central venous catheter, Pulmonary hypertension
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-022-03467-8