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The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter.
Vasc Endovascular Surg 2017; 51(2):95-97VE

Abstract

INTRODUCTION

The perforation of the superior vena cava during the placement of dialysis catheter and consequent hemothorax is a rare serious complication.

CASE REPORT

Dialysis catheter was placed in the left subclavian vein in a 69-year-old male patient with chronic renal insufficiency who was hospitalized for intracerebral hematoma. During hemodialysis a day after the procedure, the patient was noted having right-sided hemothorax, causing lethargy, dyspnea, hypotension, and bradycardia. Right tube thoracostomy was performed and 1500 cc of hemorrhagic fluid was drained. Under general anesthesia, the right posterolateral thoracotomy was performed and the tip of the dialysis catheter was found in the pleural space, penetrating the anteromedial side of the superior vena cava. The perforation area was repaired by suturing with 3-0 prolene, and the dialysis catheter was removed externally. Postoperative period was uneventful, and tube thoracostomy was terminated on day 4.

CONCLUSION

Establishing the diagnosis early and accurately and performing appropriate surgery would be lifesaving in superior vena cava perforation due to dialysis catheter.

Authors+Show Affiliations

1 Department of Thoracic Surgery, Karadeniz Technical University Medical School, Trabzon, Turkey.1 Department of Thoracic Surgery, Karadeniz Technical University Medical School, Trabzon, Turkey.1 Department of Thoracic Surgery, Karadeniz Technical University Medical School, Trabzon, Turkey.1 Department of Thoracic Surgery, Karadeniz Technical University Medical School, Trabzon, Turkey.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28118795

Citation

Turkyilmaz, Atila, et al. "The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter." Vascular and Endovascular Surgery, vol. 51, no. 2, 2017, pp. 95-97.
Turkyilmaz A, Karapolat S, Kilic M, et al. The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter. Vasc Endovascular Surg. 2017;51(2):95-97.
Turkyilmaz, A., Karapolat, S., Kilic, M., & Tekinbas, C. (2017). The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter. Vascular and Endovascular Surgery, 51(2), pp. 95-97. doi:10.1177/1538574416689427.
Turkyilmaz A, et al. The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter. Vasc Endovascular Surg. 2017;51(2):95-97. PubMed PMID: 28118795.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter. AU - Turkyilmaz,Atila, AU - Karapolat,Sami, AU - Kilic,Mehmet, AU - Tekinbas,Celal, Y1 - 2017/01/24/ PY - 2017/1/26/pubmed PY - 2017/3/14/medline PY - 2017/1/26/entrez KW - hemothorax KW - superior KW - surgery KW - vascular access devices KW - vascular system injuries KW - vena cava SP - 95 EP - 97 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 51 IS - 2 N2 - INTRODUCTION: The perforation of the superior vena cava during the placement of dialysis catheter and consequent hemothorax is a rare serious complication. CASE REPORT: Dialysis catheter was placed in the left subclavian vein in a 69-year-old male patient with chronic renal insufficiency who was hospitalized for intracerebral hematoma. During hemodialysis a day after the procedure, the patient was noted having right-sided hemothorax, causing lethargy, dyspnea, hypotension, and bradycardia. Right tube thoracostomy was performed and 1500 cc of hemorrhagic fluid was drained. Under general anesthesia, the right posterolateral thoracotomy was performed and the tip of the dialysis catheter was found in the pleural space, penetrating the anteromedial side of the superior vena cava. The perforation area was repaired by suturing with 3-0 prolene, and the dialysis catheter was removed externally. Postoperative period was uneventful, and tube thoracostomy was terminated on day 4. CONCLUSION: Establishing the diagnosis early and accurately and performing appropriate surgery would be lifesaving in superior vena cava perforation due to dialysis catheter. SN - 1938-9116 UR - https://www.unboundmedicine.com/medline/citation/28118795/The_Perforation_of_the_Superior_Vena_Cava_Secondary_to_the_Left_Subclavian_Dialysis_Catheter_ L2 - http://journals.sagepub.com/doi/full/10.1177/1538574416689427?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -