Videothoracoscopic management of a perforated central vein and pleura after ultrasound-guided internal jugular vein cannulation -A case report-

Jeong Eun Kim, Joon Pyo Jeon, Yongsuk Kim, Su Ah Jeong, Young Eun Moon

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 23-year-old male underwent a left internal jugular vein catheterization during extended surgery for treatment of multiple fractures due to a traffic accident. Although the catheterization was performed under ultrasound (US) guidance, iatrogenic perforation of the central vein and pleura occurred. The catheter was removed, and the perforated site was addressed under thoracoscopy rather than an open thoracotomy. This case suggests that using US does not completely guarantee a complication-free outcome, and that catheter placement should be carefully confirmed. In addition, this case suggests that thoracoscopy may be an ideal method of resolving a perforation of the central vein and pleura.

Original languageEnglish
Pages (from-to)306-309
Number of pages4
JournalKorean Journal of Anesthesiology
Volume66
Issue number4
DOIs
StatePublished - Apr 2014

Bibliographical note

Funding Information:
AcknowledgementsgThe authors are grateful to the Medical Research Council and the National Cancer Institute of Canada for financial support.

Keywords

  • Central venous catheterization
  • Ultrasound
  • Video-assisted thoracoscopic surgery

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