A pseudo-aneurysm of the internal mammary artery: A very rare complication of subclavian vein puncture

Kruyt, Ph.M.; Winter, Lorenz; Koning, Jeffrey L.

doi:10.1016/s0950-821x(05)80023-4

Cited by 11 publications

(2 citation statements)

References 6 publications

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“…The pseudoaneurysm can be caused by central venous cannulation. A few cases of pseudoaneurysm of the subclavian artery, the internal mammary artery, the intercostal artery, the brachiocephalic trunk, the thyrocervical trunk and the innominate artery following subclavian vein catheterization attempts have been reported as the cause of spontaneous hemothorax [7,8]. Other causes include traumas, infections, vasculitis, and tumors.…”

Section: Discussionmentioning

confidence: 99%

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Catastrophic hemothorax on the contralateral side of the insertion of an implantable subclavian venous access device and the ipsilateral side of the removal of the infected port -A case report-

Lee

Kim

Lee

et al. 2010

Korean J Anesthesiol

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The percutaneous placement of a totally implantable vascular access port via the subclavian vein is commonly used in patients with a need for multiple intravenous infusions such as administration of chemotherapy. Unfortunately, the use of central venous ports have been associated with adverse events that are hazardous to patients. Here we report the case of a 5-year-old child who died of catastrophic hemothorax after several attempts at insertion of an implantable subclavian venous access device and removal of an infected port. Massive hemothorax occurred on the side contralateral to unsuccessful attempts at insertion of a new port and ipsilateral to the removal of an infected port. We could not confirm the cause of death and hemothorax without autopsy, but we discuss several possible causes of massive hemothorax.

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Section: Discussionmentioning

confidence: 99%

“…Or it could be from barotrauma caused by continuous elevation of air pressure due to the hemothorax or the infusion of a large amount of blood and fluid. Many authors have reported on ipsilateral hemothorax from a central venous catheterization [4,5,7,8]. However, hemothorax on the opposite side has rarely been reported (0.4-0.7%) [11,12].…”

Section: Discussionmentioning

confidence: 99%