Central venous access: Accidental arterial puncture in a patient with right-sided aortic arch

Marco Ricci, Anibal O. Puente, Flavia Gusmano, Raymond LaRaja

Research output: Contribution to journalArticle

8 Scopus citations


Objective: To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch. Design: Case report, clinical. Settings: Community hospital, university-affiliated. Conclusions: Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.

Original languageEnglish (US)
Pages (from-to)1025-1026
Number of pages2
JournalCritical care medicine
Issue number5
Publication statusPublished - Jun 19 1999
Externally publishedYes



  • Arterial puncture
  • Carotid artery
  • Central venous access
  • Complications
  • Hemothorax
  • Jugular vein
  • Pneumothorax
  • Radiography
  • Right-sided aortic arch
  • Venipuncture

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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