Intrathoracic misplacement of central venous catheter exposed during video-assisted thoracoscopic surgery: A case report

Kim, Jong Il; Lee, Eun Ju; Lee, Su Nam; Lee, Ji Heui; Lee, So Young; Lee, Ji Yeon; Son, You Bin; Rim, Sung Kyu

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2013;8(3):181-183.
Published online July 30, 2013.

Intrathoracic misplacement of central venous catheter exposed during video-assisted thoracoscopic surgery: A case report

Jong Il Kim, Eun Ju Lee, Su Nam Lee, Ji Heui Lee, So Young Lee, Ji Yeon Lee, You Bin Son, Sung Kyu Rim

Department of Anesthesiology and Pain Medicine, Korea Cancer Center Hospital, Seoul, Korea. ejleemd@hotmai.com

Abstract

Central catheterization has been widely employed because of its various uses. However, there are many complications which are classified as mechanical complications, infectious complications, and thrombotic complications. Especially, subclavian catheterization has a high rate of mechanical complication such as pneumothrax and hemothorax. We experienced an unusual complication of central catheter misplacement in thoracic surgery and identified it with video assisted thoracoscopic equipment. We consider hemothorax to be the cause of this type of central catheter misplacement.

Key Words: Central venous catheterization, Hemothorax, Video-assisted thoracic surgery