Accidental central venous catheter cannulation into aberrant arterial anatomy requiring endovascular intervention

Abstract

Central venous catheter placement continues to be an extremely common procedure throughout hospital systems. Although ultrasound guidance can mitigate some placement risks, misplacement of lines into neighboring structures, such as arteries, remains an unfortunate complication. In this report, we will discuss an 83-year-old female with aberrant left subclavian artery and right sided arch, which provided for successful stent graft coverage of arterial injury secondary to accidental subclavian artery cannulation with a central venous catheter with preservation of the right common carotid artery and avoidance of a potentially morbid sternotomy.

Keywords

• Aberrant aortic arch
• Aberrant left subclavian artery
• Central venous catheter misplacement
• Kommerell’s diverticulum
• Right-sided aortic arch.