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

Peter Paul de Smalen*, Mark Jeroen Stoutjesdijk

*Corresponding author for this work

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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.

Original languageEnglish
Article number259
JournalJournal of Medical Case Reports
Issue number1
Publication statusPublished - 22 Jun 2022


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