Korean J Crit Care Med.  2012 Feb;27(1):59-61. 10.4266/kjccm.2012.27.1.59.

Surgical Management for Pulmonary Artieriole Rupture During Subclavian Vein Catheterization: A Case Report

• Min J
• Kim HK
• Sung HK
• Lee HJ
• Choi YH

• KMID: 2301482
• DOI: http://doi.org/10.4266/kjccm.2012.27.1.59

Abstract

We experienced an extremely unusual case of a 37-year-old woman who suffered from hemothorax soon after subclavian vein catheterization. Many case reports of a hemothorax or hematoma after central vein catheterization through the great vessels, such as the subclavian vein and internal jugular vein, have been published. However, this rare case showed a pinpoint-sized active bleeding site from a pulmonary arteriole rupture. During an emergency operation using thoracoscopy-assisted minithoracotomy, this bleeding site was successfully managed by primary repair.

Keyword

central venous catheterization; hemothorax; pulmonary arteriole rupture; thorcoscopy-assisted minithoracotomy

MeSH Terms

Adult
Arterioles
Catheterization
Catheterization, Central Venous
Catheters
Emergencies
Female
Hematoma
Hemorrhage
Hemothorax
Humans
Jugular Veins
Rupture
Subclavian Vein
Veins