Endocavitary electrocardiography during central vein catheter positioning in a newborn with persistent left superior vena cava

Luigi Avolio, Antonio Rinaldi, Gianpaolo Serafini, Giuseppe Martuccielo

Research output: Contribution to journalArticle

Abstract

We report an unusual presentation of the P wave and QRS complex during ECG-guided endocavitary assessment of the proper location of the central venous catheter in a pre-term infant operated on for esophageal atresia. The P wave and QRS complex had a normal morphology, but lay specularly to normal above the isoelectric line. The chest X-ray showed that the unusual ECG pattern was due to the left paracardiac position of the catheter, just lateral to the aortic arch within a persistent left superior vena cava.

Original languageEnglish
Pages (from-to)212-213
Number of pages2
JournalJournal of Vascular Access
Volume10
Issue number3
Publication statusPublished - 2009

Keywords

  • Central venous catheter
  • Persistent left vena cava
  • Systemic venous anomalies

ASJC Scopus subject areas

  • Surgery
  • Nephrology

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