Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature

Aortic injury during central venous catheter (CVC) insertion is a rare but serious complication. This presentation describes a case of iatrogenic intramural hematoma of the ascending aorta complicating inadvertent arterial cannulation of the right subclavian artery during attempted Port-A-Cath inser...

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Autor principal: Basta, Mafdy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879891/
https://www.ncbi.nlm.nih.gov/pubmed/33109812
http://dx.doi.org/10.4103/aca.ACA_169_19
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author Basta, Mafdy
author_facet Basta, Mafdy
author_sort Basta, Mafdy
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description Aortic injury during central venous catheter (CVC) insertion is a rare but serious complication. This presentation describes a case of iatrogenic intramural hematoma of the ascending aorta complicating inadvertent arterial cannulation of the right subclavian artery during attempted Port-A-Cath insertion at the right subclavian vein. Various strategies for the prevention and management of aortic injury during CVC placement are discussed. In this case, the hematoma was managed surgically and replacement of the ascending aorta was undertaken under deep hypothermic circulatory arrest.
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spelling pubmed-78798912021-02-23 Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature Basta, Mafdy Ann Card Anaesth Case Report Aortic injury during central venous catheter (CVC) insertion is a rare but serious complication. This presentation describes a case of iatrogenic intramural hematoma of the ascending aorta complicating inadvertent arterial cannulation of the right subclavian artery during attempted Port-A-Cath insertion at the right subclavian vein. Various strategies for the prevention and management of aortic injury during CVC placement are discussed. In this case, the hematoma was managed surgically and replacement of the ascending aorta was undertaken under deep hypothermic circulatory arrest. Wolters Kluwer - Medknow 2020 2020-09-08 /pmc/articles/PMC7879891/ /pubmed/33109812 http://dx.doi.org/10.4103/aca.ACA_169_19 Text en Copyright: © 2020 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Basta, Mafdy
Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature
title Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature
title_full Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature
title_fullStr Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature
title_full_unstemmed Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature
title_short Iatrogenic Intramural Hematoma of the Ascending Aorta Complicating Inadvertent Arterial Cannulation during Central Venous Catheter Placement. A Case Report and Review of the Literature
title_sort iatrogenic intramural hematoma of the ascending aorta complicating inadvertent arterial cannulation during central venous catheter placement. a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879891/
https://www.ncbi.nlm.nih.gov/pubmed/33109812
http://dx.doi.org/10.4103/aca.ACA_169_19
work_keys_str_mv AT bastamafdy iatrogenicintramuralhematomaoftheascendingaortacomplicatinginadvertentarterialcannulationduringcentralvenouscatheterplacementacasereportandreviewoftheliterature

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