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VOLUME 18 , ISSUE 1 ( January, 2014 ) > List of Articles

CASE REPORT

Transpleural central venous catheter discovered during thoracotomy

Ashvini Kumar, Ashima Malhotra, Prakash Sharma, Nikhil Malhotra

Keywords : Central venous catheter, infraclavicular, thoracotomy, transpleural

Citation Information : Kumar A, Malhotra A, Sharma P, Malhotra N. Transpleural central venous catheter discovered during thoracotomy. Indian J Crit Care Med 2014; 18 (1):37-39.

DOI: 10.4103/0972-5229.125435

License: CC BY-ND 3.0

Published Online: 01-01-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We report an uncommon complication of subclavian central venous catheterization, discovered at thoracotomy. The central venous catheter (CVC) was placed by left infraclavicular route after induction of general anesthesia. CVC was secured after aspiration of blood and satisfactory central venous tracing. On thoracotomy, CVC was noticed to traverse the pleural cavity while the tracing was normal. CVC was thus removed consequent to which bleeding from each puncture site was noticed, that were secured surgically.


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  1. Merrer J, De Jonghe B, Golliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: A randomized controlled trial. JAMA 2001;286:700-7.
  2. Shoemaker W, Ayers S, Grenvik A, Hulbrook P. Textbook of Critical Care. 4 th ed. Philadelphia: WB Saunders; 2000. p. 59-73.
  3. Ghafoor AU, Mayhew JF, Gentry WB, Schmitz ML. Transpleural subclavian central venous catheter placement in a child with scoliosis discovered during a thoracotomy. J Clin Anesth 2003;15:142-4.
  4. Hohlrieder M, Schubert HM, Biebl M, Kolbitsch C, Moser PL, Lorenz IH. Successful aspiration of blood does not exclude malposition of a large-bore central venous catheter. Can J Anaesth 2004;51:89-90.
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