Central venous cannulation is an increasingly common diagnostic and therapeutic procedure in modern medical practise. Inadvertent iatrogenic injury to an adjacent major artery during attempted central venous cannulation is an uncommon but potentially lethal complication. If injury leads to pseudoaneurysm formation, complications may arise from mass effect, embolism, or even rupture with continued hemorrhage. Traditional surgical repair of these lesions is often difficult, especially if access within the thorax is required in patients at high risk. We present a case report of successful management of a large subclavian artery pseudoaneurysm with the new approach of percutaneous thrombin injection.

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We describe two uncommon cases referred for further surgical management following colposuspension using the Burch technique. In reviewing literature associated with complications following colposuspension, only sparse data were found. Here we present two cases referred to our department within 18 months of primary surgery, in which the aetiology was difficult to diagnose.