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Complicated right subclavian artery pseudoaneurysm after central venipuncture
R T Baldwin1, D R Kieta, M W Gallagher
1Department of Cardiovascular Surgery, Memorial Regional Heart Center, Houston, Texas 77074-1880, USA.
The Annals of Thoracic Surgery
|August 1, 1996
Summary
Central line placement complications are rare. A patient developed a subclavian pseudoaneurysm after internal jugular vein cannulation, leading to tracheal and esophageal necrosis, requiring complex surgical repair.
Area of Science:
- Vascular Surgery
- Thoracic Surgery
- Interventional Radiology
Background:
- Central venous catheterization is a common procedure.
- Complications, though rare, can be severe.
Observation:
- A patient developed a large right subclavian pseudoaneurysm following right internal jugular vein cannulation.
- This pseudoaneurysm caused pressure necrosis of the membranous trachea and esophagus.
Findings:
- Surgical intervention included oversewing the subclavian artery ends and primary tracheal repair.
- An esophageal leak occurred postoperatively and was managed with suture repair and diversion.
Implications:
- This case highlights a rare but serious complication of central venous access.
- It underscores the importance of vigilant monitoring and prompt management of vascular injuries.