Esophageal perforation after catheterization of the subclavian vein.
The insertion of a central venous catheter (CVC) via the subclavian vein is often associated with complications. We report a case in which a patient suffered an esophageal lesion with severe bleeding and a pneumothorax with mediastinal shift induced by the insertion of the dilator of a CVC. The pneumothorax had to be treated immediately by pleural drainage, and the esophageal lesion was successfully corrected by means of an endoclip. The patient survived the complication. However, he died 1 week later from multiple organ failure not associated with the CVC insertion.
Weis
Florian
F
Department of Anesthesiology, University Hospital Grosshadern, Ludwig-Maximilians-University, Munich, Germany.
Beiras-Fernandez
Andres
A
Sadoni
Sebastian
S
Hauer
Daniale
D
Nikolaou
Konstantin
K
Reichart
Bruno
B
Weis
Marion
M
D000368:Aged; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D004939:Esophageal Perforation / Q000150:complications / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D009102:Multiple Organ Failure / Q000150:complications; D010994:Pleura / Q000601:surgery; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery; D013350:Subclavian Vein; D013396:Suction; D013525:Surgical Instruments