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Published on: December 23, 2014
Cardiac tamponade due to internal jugular catheterization after lung resection: a rare but life-threatening
Süleyman Gökalp Güneş1, Barış Gülmez2, Kübra Saçar3
1Faculty of Medicine, Department of Thoracic Surgery, Ankara University, İbni Sina Hospital, Talatpaşa Blv, Altındag, Ankara, Turkey. gokalpgunes@yahoo.com.
Introduction:
Internal jugular venous catheterization is an invasive procedure, and there are life-threatening complications that require urgent intervention. In this study, we present a young patient who developed myocardial injury due to internal jugular catheterization.
Case:
The patient underwent middle lobectomy for bronchiectasis. Right internal jugular venous catheterization was performed. In the fourth postoperative hour, resuscitation was initiated due to sudden hypotension, tachycardia, and altered consciousness. Bedside echocardiography, performed to evaluate the etiology of the acute presentation, revealed diffuse fluid accumulation in the pericardial cavity. Following fluid drainage, hemodynamic stability was achieved.
Discussion:
Possible complications can be life-threatening, and rapid diagnosis along with prompt treatment may be life-saving.
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Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.

