Unusual complication of perioperative internal jugular venous cannulation

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2016, Volume 24, Issue 4 : 15-17

Article

Unusual complication of perioperative internal jugular venous cannulation

Akunuri S.

Sapare A.

Hegde R.

Reddy C.

Abstract

Central venous lines are commonly inserted in cardiac surgery for haemodynamic monitoring as well as administration of fluids and vasoactive drugs. A rare and potentially serious complication of central venous access is development of pseudoaneurysms after inadvertent puncture of the artery. We present a case of right subclavian artery pseudoaneurysm after internal jugular vein access for perioperative management of congenital heart disease, which presented late with a mass effect over the trachea, leading to difficulty in mechanical ventilation and multiple failed extubation attempts. © 2016, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Central venous line insertion

Difficult ventilation

Internal jugular vein

Pseudoaneurysm

Subclavian artery

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