title: Interventional management of massive hemothorax due to inadvertent puncture of an aberrant right subclavian artery.
abstract: We report a case of massive hemothorax due to inadvertent puncture of an aberrant right subclavian artery during central venous access. Iatrogenic laceration at the origin of the right internal thoracic artery was successfully treated with coil embolization of the internal thoracic artery followed by stent-graft placement into the subclavian artery. Due to its elongated and abnormal course, an aberrant right subclavian artery may predispose to inadvertent puncture during vein catheterization and should be recognized as a potential threat for such procedures. Our case emphasizes that ultrasound guidance should be used routinely for central venous lines wherever possible.
authors.affiliation: Klinik für Diagnostische Radiologie, University Hospital Schleswig-Holstein, Campus Kiel, Germany. thomas.jahnke@gmx.net
authors.forename: Thomas
authors.initials: T
authors.lastname: Jahnke
authors.forename: Phillip Jost
authors.initials: PJ
authors.lastname: Schaefer
authors.forename: Martin
authors.initials: M
authors.lastname: Heller
authors.forename: Stefan
authors.initials: S
authors.lastname: Mueller-Huelsbeck
mesh_terms: D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects*; D015641:Radiography, Interventional; D013348:Subclavian Artery / Q000002:abnormalities* / Q000293:injuries*