Videothoracoscopic management of a perforated central vein and pleura after ultrasound-guided internal jugular vein cannulation: a case report
Korean Journal of Anesthesiology 2014³â 66±Ç 4È£ p.306 ~ p.309
±èÁ¤Àº(Kim Jeong-Eun) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
(Jeon Joon-Pyo) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
±è¿ë¼®(Kim Yong-Suk) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
(Jeong Su-Ah) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
¹®¿µÀº(Moon Young-Eun) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
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.
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Central venous catheterization, Ultrasound, Video-assisted thoracoscopic surgery
KMID :
0356920140660040306
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