Korean J Anesthesiol.  2005 Dec;49(6):872-875. 10.4097/kjae.2005.49.6.872.

Acute Extrapleural Hematoma Resulting from Right Subclavian Artery Laceration during Internal Jugular Catheterization: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Management, Seoul Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. icchoi@amc.seoul.kr

Abstract

Central venous catheterization can have many complications. A pneumothorax, hemothorax, hemomediastinum, air embolism, cardiac tamponade, and major vascular laceration are complications that can be induced by internal jugular venous catheterization. A patient with Marfan syndrome had a soft connective tissue and variable characteristic major vascular anomaly. We report a case of an acute lethal extrapleural hematoma in a 14-year old female with Marfan syndrome resulting from a laceration of the subclavian artery during internal jugular venous catheterization.

Keyword

central venous catheterization; extrapleural hematoma; internal jugular vein; subclavian artery

MeSH Terms

Adolescent
Cardiac Tamponade
Catheterization*
Catheterization, Central Venous
Catheters*
Central Venous Catheters
Connective Tissue
Embolism, Air
Female
Hematoma*
Hemothorax
Humans
Lacerations*
Marfan Syndrome
Pneumothorax
Subclavian Artery*
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