Abstract
ENTRAL VENOUS CATHETERS (CVCs) are integral tools for hemodynamic monitoring and adminis~:ration of cardiovascular drugs and fluids in pediatric patients undergoing repair of congenital heart defects. However, placement of CVCs in young infants can be technically difficult and may lead to complications, including accidental arterial cannulation, hematoma, Homer's syndrome, pneumothorax, injury of the thoracic duct, and cerebral air embolism resulting from a right-to-left shunt. For effective safe care, it is important to promptly differentiate signs of genuine complications from those due to congenital anatomic defects. A case is presented in which bright red blood re;~arn was noted after an otherwise uneventful central venous catheterization, and in which rapid confirmation of accurate central venous access prevented repeated puncture attempts and the increased risk of complications.
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