Interventional Management of Massive Hemothorax Due to Inadvertent Puncture of an Aberrant Right Subclavian Artery

Journal Article · Tue Jul 15 00:00:00 EDT 2008 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-007-9177-4· OSTI ID:21450395

Jahnke, Thomas; Schaefer, Phillip Jost; Heller, Martin; Mueller-Huelsbeck, Stefan ^[1]

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1. University Hospital Schleswig-Holstein, Klinik fuer Diagnostische Radiologie (Germany)

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.

• OSTI ID: 21450395
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 31, Issue 2; Other Information: DOI: 10.1007/s00270-007-9177-4; Copyright (c) 2008 Springer Science+Business Media, LLC; ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
CHEST
GRAFTS
RUPTURES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
FAILURES
ORGANS
TRANSPLANTS