PMC5467281_01
Single frontal view CXR showing the tip of the left IJ CVL extending left of the aortic arch towards the left lung field.
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fig1
A CXR was obtained to confirm placement which showed that the catheter tip did not cross the midline; instead, it was extending towards the left of the aortic arch probably into an anomalous vein as read by the radiologists (Figure 1).
Fluoroscopy study showing left IJ CVL extending through the anomalous pulmonary vein.
CRICC2017-3218063.002.jpg
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fig2
Fluoroscopy study was used to place a left peripherally inserted central catheter (PICC) and to confirm the location of the left IJ CVL which demonstrated contrast injection in an anomalous pulmonary vein (Figure 2).