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.
|Number of pages||2|
|Journal||Journal of Vascular Access|
|Publication status||Published - 2009|
- Central venous catheter
- Persistent left vena cava
- Systemic venous anomalies
ASJC Scopus subject areas