Korean J Anesthesiol.  2008 Jul;55(1):99-103. 10.4097/kjae.2008.55.1.99.

Hydromediastinum and bilateral hydrothorax after right subclavian vein catheterization: A case report

• Yang HJ
• Jo HK
• Kim YJ
• Cho JH
• Cho CK

• KMID: 1782528
• DOI: http://doi.org/10.4097/kjae.2008.55.1.99

Abstract

In many clinical settings, patients undergoing major surgery and patients with critical illness or cancer routinely receive a central venous catheter (CVC). Although several complications including hematoma formation, hemothorax, hydrothorax, chylothorax and cardiac tamponade with vascular injury are associated with the placement of CVCs, their incidence are not frequent. Especially, hydromediastinum and bilateral hydrothorax are very rare. We experienced an unusual complication of hydromediastinum and bilateral hydrothorax by left brachiocephalic vein perforation with misplacement of the catheter tip after right subclavian vein catheterization.

Keyword

catheterization; central venous; hydromediastinum; hydrothorax

MeSH Terms

Brachiocephalic Veins
Cardiac Tamponade
Catheterization
Catheters
Central Venous Catheters
Chylothorax
Critical Illness
Hematoma
Hemothorax
Humans
Hydrothorax
Incidence
Subclavian Vein
Vascular System Injuries