The Korean Journal of Critical Care Medicine  2012;27(1):59-61

doi:10.4266/kjccm.2012.27.1.59

Surgical Management for Pulmonary Artieriole Rupture During Subclavian Vein Catheterization: A Case Report.

Jiae MIN 1 ; Hyun Koo KIM ; Ho Kyung SUNG ; Hyun Joo LEE ; Young Ho CHOI

Affiliations

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Keywords

central venous catheterization; hemothorax; pulmonary arteriole rupture; thorcoscopy-assisted minithoracotomy

Country

Republic of Korea

Language

Korean

Abstract

We experienced an extremely unusual case of a 37-year-old woman who suffered from hemothorax soon after subclavian vein catheterization. Many case reports of a hemothorax or hematoma after central vein catheterization through the great vessels, such as the subclavian vein and internal jugular vein, have been published. However, this rare case showed a pinpoint-sized active bleeding site from a pulmonary arteriole rupture. During an emergency operation using thoracoscopy-assisted minithoracotomy, this bleeding site was successfully managed by primary repair.