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Interventional Management of Massive Hemothorax Due to Inadvertent Puncture of an Aberrant Right Subclavian Artery

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Abstract

We 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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Authors and Affiliations

  1. Klinik für Diagnostische Radiologie, University Hospital Schleswig-Holstein, Campus Kiel, Germany

    Thomas Jahnke, Phillip Jost Schaefer, Martin Heller & Stefan Mueller-Huelsbeck

  2. Department of Radiology, University Hospital Schleswig-Holstein, Arnold-Heller Str. 9, 24105 Kiel, Campus Kiel, Germany

    Thomas Jahnke

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  1. Thomas Jahnke
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  2. Phillip Jost Schaefer
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  3. Martin Heller
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  4. Stefan Mueller-Huelsbeck
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Correspondence to Thomas Jahnke.

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Jahnke, T., Schaefer, P.J., Heller, M. et al. Interventional Management of Massive Hemothorax Due to Inadvertent Puncture of an Aberrant Right Subclavian Artery. Cardiovasc Intervent Radiol 31 (Suppl 2), 124–127 (2008). https://doi.org/10.1007/s00270-007-9177-4

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  • DOI: https://doi.org/10.1007/s00270-007-9177-4

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