Innominate artery repair via upper sternotomy after misplacement of central venous catheter - a case report -

• 발행기관: 조선대학교 의학연구원
• 저자명: Ukjin Jeong Hotaek Kim Hyo Jung Son
• 간행물 정보: 『Medical Biological Science and Engineering』제8권 제1호, 20~24쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.12.31

국문 초록

We experienced a case where a central venous catheter was incorrectly placed into the innominate artery while attempting to be placed into the right subclavian vein. An 87-year-old woman underwent central venous catheterization without ultrasound in the intensive care unit for treating septic shock caused by exacerbation of acute cholecystitis. Subsequent hemodynamic monitoring through this catheter revealed arterial waves, suggesting iatrogenic cannulation of the artery. And chest X-ray revealed that central line coursed more medial than expected with the tip appeared to be located within the aorta. Three-dimensional spectral computed tomography of the aortic arch showed that the entry point was the innominate artery of the aortic arch, and the tip was in the ascending aorta. Considering the patient’s condition and the coagulation test result, suturing after surgical removal through general anesthesia was decided. The catheter was successfully removed by surgery with upper sternotomy.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

REFERENCES

키워드

Arterial catheterization Central venous catheter Innominate artery Malposition Ultrasonography