Right subclavian artery injury along with right pleural injury-inadvertent complication of internal jugular vein catheterisation and its management

Kalyani Dnyaneshwar Aher; Minakshi Gadahire; Ashish Kumar Lallan Prasad Yadav; Nishi Bansal

doi:10.18203/2320-6012.ijrms20260987

Authors

Kalyani Dnyaneshwar Aher Department of General Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
Minakshi Gadahire Department of General Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
Ashish Kumar Lallan Prasad Yadav Department of General Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
Nishi Bansal Department of General Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20260987

Keywords:

Central venous catherization misplacement, Haemothorax, Hypovolumic shock, Internal jugular vein, Massive pleural effusion, Subclavian artery

Abstract

Internal jugular vein catheterization is a commonly performed and generally safe procedure; however, it may be associated with rare but potentially fatal complications. Common complications of internal jugular vein catheterization include arterial puncture (involving the carotid artery or subclavian artery), hematoma, pneumothorax, hemothorax, chylothorax (due to thoracic duct injury, especially with left internal jugular vein catheterization), and cardiac tamponade. This case highlights the successful management of a right hypertensive pleural effusion resulting from central venous catheter misplacement in the right pleural cavity, leading to hypovolemic shock and right subclavian artery injury-an extremely rare but serious complication of right internal jugular vein catheterization.

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