Korean J Anesthesiol.  2010 Dec;59(Suppl):S211-S217. 10.4097/kjae.2010.59.S.S211.

Bilateral hydrothorax and cardiac tamponade after right subclavian vein catheterization: A case report

• Kim MH
• Lee DJ
• Kim MC

• KMID: 2237390
• DOI: http://doi.org/10.4097/kjae.2010.59.S.S211

Abstract

Central venous catheterization is typically used for the anesthetic management of patients undergoing a major surgery or care of patients in Intensive Care Unit (ICU). The occurrence of complications associated with central venous catheterization such as pneumothorax or vascular injury have decreased, while delayed complications such as hydrothorax, hydromediastinum, or cardiac tamponade have risen recently. We report a case of complications of bilateral hydrothorax with cardiac tamponade by superior vena cava perforation due to continuous mechanical force of the looped central venous catheter tip against SVC wall after subclavian vein cannulation.

Keyword

Cardiac tamponade; Central venous catheterization; Hydromediastinum; Hydrothorax

MeSH Terms

Cardiac Tamponade
Catheterization
Catheterization, Central Venous
Central Venous Catheters
Humans
Hydrothorax
Intensive Care Units
Pneumothorax
Subclavian Vein
Vascular System Injuries
Vena Cava, Superior