Iatrogenic pseudoaneurysm of the innominate artery

F. Follis, K. B. Miller, R. F. Paone, J. A. Wernly

Research output: Contribution to journalArticlepeer-review

Abstract

Central venous cannulation by the subclavian approach is a commonly performed procedure with an overall complication rate of up to 11%. In the English literature, however, there has been no previous documentation of pseudoaneurysm of the innominate artery as a complication of right subclavian vein catheterization. We report a case of a 55-year-old woman on chronic hemodialysis admitted to the hospital with pneumonia and sepsis who underwent multiple attempts at placement of a right subclavian vein catheter. These were unsuccessful and resulted in arterial puncture. The patient was discharged, but returned to the hospital 2 weeks later with shortness of breath and stridor. Evaluation revealed a pseudoaneurysm of the innominate artery with compression of the airway, which was successfully repaired.

Original languageEnglish
Pages (from-to)294-296
Number of pages3
JournalTexas Heart Institute Journal
Volume19
Issue number4
Publication statusPublished - 1992

Keywords

  • Catheterization, central venous/complications
  • iatrogenic disease
  • subclavian vein

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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