Contralateral tension pneumo/hemothorax resulting from left subclavian vein cannulation under general anesthesia.
A patient had a subclavian vein catheter placed under general endotracheal anesthesia with positive pressure ventilation. During placement, the superior vena cava, pleura, and pulmonary tissue were punctured, resulting in a tension pneumo/hemothorax, the detection of which was complicated by its slow onset and unusual location. The lesion required an emergent thoracotomy for repair.
Lock
R L
RL
Triplett
H B
HB
Rose
G
G
D000368:Aged; D000769:Anesthesia, Inhalation; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D015505:Chest Tubes; D005260:Female; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011859:Radiography