Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management

Table 1

Summary of the approach followed in 10 cases reported in literature of adult patients found to have PAPVR on CVL insertion.

Article	Year	Side	Indication	Pulmonary systemic connection site	Paradoxical paO2	Wave form	Fluoroscopy	CTA/CT chest	U/S confirmation	Pulmonary HTN	Management
Wylam and Schmidt [6]	1990	Left IJ	Sepsis	Left upper pulmonary vein to left brachiocephalic	√	Pulsatile	√	No	n/a	√	Repositioned
Cheng et al. [10]	2002	Left IJ	Sepsis	Left upper pulmonary vein to left brachiocephalic	√	Venous	√	No	√	n/a	Removed
Townley [13]	2003	Left IJ	Venous access	Left lung	High PO2 but no arterial sample to compare	Venous	No	No	n/a	n/a	Removed
Chintu et al. [18]	2008	Left IJ	Hemodialysis	Left upper pulmonary vein to left brachiocephalic	n/a	n/a	√	No	n/a	n/a	Removed
Javangula et al. [14]	2010	Left IJ	Sepsis	Left upper pulmonary vein to left brachiocephalic	High PO2 but no arterial sample to compare	Venous	√	CTA	√	No	Repositioned
Habito and Kalva [17]	2011	Left IJ	Chemotherapy	Right upper pulmonary vein to SVC	n/a	n/a	√	CTA	n/a	n/a	Repositioned
Brandt and Artmeier-Brandt [15]	2015	Left subclavian	Venous access in the setting of trauma	Left upper pulmonary vein to left brachiocephalic vein	High PO2 but no arterial sample to compare	Venous	No	CTA	n/a	n/a	n/a
Khanna et al. [11]	2014	Left IJ	Intraoperative venous access	Left upper pulmonary vein to left brachiocephalic	√	Venous	No	Regular CT without contrast	n/a	n/a	Used for 2 days
Chirinos et al. [16]	2014	Left IJ	Hemodialysis	Left upper pulmonary vein to left brachiocephalic	High PO2 but no arterial sample to compare	Venous	Yes	CTA	n/a	n/a	Removed
Grillot et al. [12]	2016	Left IJ	Hemodialysis	Left upper pulmonary vein to left brachiocephalic	√	Venous	No	CTA	√	n/a	Used for 7 days

n/a: not available.