Endovascular repair of an iatrogenic superior vena caval injury: a case report.
We present the case of a patient with an iatrogenic injury to the superior vena cava during a central venous catheter placement. The vena cava was perforated when a left subclavian dialysis catheter was placed. The perforation in the right side of the vena cava occurred at the confluence of the innominate veins. This perforation was successfully repaired using a 10 mm Viabahn stent graft (W. L. Gore, Flagstaff, Ariz) delivered through a femoral approach. The stent graft was deployed as the dialysis catheter was removed. This case demonstrates the utility of stent graft repair of the superior vena cava in emergency situations.
Azizzadeh
Ali
A
Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA. Ali.Azizzadeh@uth.tmc.edu
Pham
Mai T
MT
Estrera
Anthony L
AL
Coogan
Sheila M
SM
Safi
Hazim J
HJ
D017130:Angioplasty / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D005500:Follow-Up Studies; D006530:Hepatorenal Syndrome / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D010690:Phlebography; D006435:Renal Dialysis / Q000379:methods*; D012421:Rupture; D015607:Stents; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000293:injuries*