• Cardiovasc Intervent Radiol · Jul 2008

    Case Reports

    Interventional management of massive hemothorax due to inadvertent puncture of an aberrant right subclavian artery.

    • Thomas Jahnke, Phillip Jost Schaefer, Martin Heller, and Stefan Mueller-Huelsbeck.
    • Klinik für Diagnostische Radiologie, University Hospital Schleswig-Holstein, Campus Kiel, Germany. thomas.jahnke@gmx.net
    • Cardiovasc Intervent Radiol. 2008 Jul 1;31 Suppl 2:S124-7.

    AbstractWe report a case of massive hemothorax due to inadvertent puncture of an aberrant right subclavian artery during central venous access. Iatrogenic laceration at the origin of the right internal thoracic artery was successfully treated with coil embolization of the internal thoracic artery followed by stent-graft placement into the subclavian artery. Due to its elongated and abnormal course, an aberrant right subclavian artery may predispose to inadvertent puncture during vein catheterization and should be recognized as a potential threat for such procedures. Our case emphasizes that ultrasound guidance should be used routinely for central venous lines wherever possible.

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