Webb J G, Simmonds S D, Chan-Yan C
Chest. 1986 Feb;89(2):309-12. doi: 10.1378/chest.89.2.309.
Erroneous positioning of central venous catheters in small tributaries of large central veins is a rare occurrence. We describe three such unusual incidents involving cannulation of the left internal mammary vein. Malposition was suspected when infusion of hypertonic parenteral nutrition led to persistent precordial pain. Unusual chest pain syndromes may indicate central venous catheter malposition and have not previously been described.
中心静脉导管误置于大中心静脉的小分支是一种罕见的情况。我们描述了三起涉及左乳内静脉插管的此类异常事件。当输注高渗肠外营养导致持续的心前区疼痛时，怀疑导管位置不当。异常的胸痛综合征可能表明中心静脉导管位置不当，此前尚未见报道。
