Sinus venosus atrial septal defect in a patient with Pentalogy of Fallot.

and fluids were flowing well. After the dissection, the surgeon checked the patency of the vein, and it was found to be damaged. Proper positioning of the CVC is important to ensure optimal catheter function and to decrease complications. Many of the cases of left superior intercostal vein cannulation in the literature document the findings, with no report of patient symptoms, catheter function or management. Sekerci and colleagues[7] reported inadvertent malpositioning of a drum catheter in the left internal mammary vein following an attempt at central venous cannulation via the right antecubital fossa.

[1]  O. Wald,et al.  Internal mammary artery injury during central venous catheter insertion for TPN: rare but fatal. , 2010, Nutrition.

[2]  P. Eulmesekian,et al.  Internal mammary artery injury after central venous catheterization , 2007, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[3]  G. Arslan,et al.  Malpositioning of the central venous catheter necessitating sternotomy. , 1999, European journal of anaesthesiology.

[4]  R. Apsner,et al.  Malposition of central venous catheters. Incidence, management and preventive practices. , 1997, Wiener klinische Wochenschrift.

[5]  J. Kaufman,et al.  Clinical experience with the multiple lumen central venous catheter. , 1986, JPEN. Journal of parenteral and enteral nutrition.

[6]  J. Heinonen,et al.  Cardiovascular Effects of Pancuronium and Vecuronium during High‐Dose Fentanyl Anesthesia , 1983, Anesthesia and analgesia.

[7]  J. Malatinský,et al.  Misplacement and Loop Formation of Central Venous Catheters , 1976, Acta anaesthesiologica Scandinavica.