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Korean J Crit Care Med > Volume 27(1); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(1): 59-61. doi: https://doi.org/10.4266/kjccm.2012.27.1.59
쇄골하 정맥도관 삽입 중 발생한 폐세동맥 출혈의 수술적 치험 1예 -증례 보고-
민지애ㆍ김현구ㆍ성호경ㆍ이현주ㆍ최영호
고려대학교 의과대학 구로병원 흉부외과학교실
Surgical Management for Pulmonary Artieriole Rupture During Subclavian Vein Catheterization: A Case Report
Jiae Min, Hyun Koo Kim, Ho Kyung Sung, Hyun Joo Lee, Young Ho Choi
Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. kimhyunkoo@korea.ac.kr
ABSTRACT
We experienced an extremely unusual case of a 37-year-old woman who suffered from hemothorax soon after subclavian vein catheterization. Many case reports of a hemothorax or hematoma after central vein catheterization through the great vessels, such as the subclavian vein and internal jugular vein, have been published. However, this rare case showed a pinpoint-sized active bleeding site from a pulmonary arteriole rupture. During an emergency operation using thoracoscopy-assisted minithoracotomy, this bleeding site was successfully managed by primary repair.
Key Words: central venous catheterization; hemothorax; pulmonary arteriole rupture; thorcoscopy-assisted minithoracotomy
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