Abstract
Central venous cannulation (CVC) is a procedure that is frequently performed to facilitate resuscitation, nutritional support and long-term vascular access. It may often cause mechanical complications during placement of a cannula in association with the anatomical relationship with central veins. A 68-year-old man visited our medical institution with a chief complaint of foreign-body-induced esophageal perforation. This patient presented with bleeding of the superior vena cava due to an iatrogenic injury to it during the CVC in the right internal jugular vein. Our case indicates that it would be mandatory to insert a cannula at an optimal depth considering the anatomical relationship between the central veins during the CVC.
Highlights
The superior vena cava (SVC) is vulnerable to diverse types of damages
Most cases of SVC injuries are iatrogenic, which result from the placement of central venous catheters, insertion of pacemakers, stenting of SVC in SVC obstruction syndrome or placement of a filter in the SVC to prevent showering of emboli [1]
The Central venous cannulation (CVC) can be performed via diverse veins according to a clinician’s preference, The CVC
Summary
The superior vena cava (SVC) is vulnerable to diverse types of damages. Most cases of SVC injuries are iatrogenic, which result from the placement of central venous catheters, insertion of pacemakers, stenting of SVC in SVC obstruction syndrome or placement of a filter in the SVC to prevent showering of emboli [1]. Several cases of erosion or rupture of SVC have been described in the literature, which lead to hemodynamic instability, hemothorax or pericardial tamponade, requiring prompt action to avoid cardiovascular collapse and death [2,3,4,5,6,7] This is a potentially fatal complication causing sudden hemodynamic compromise associated with high mortality, for which an immediate surgical intervention is mandatory, unless recognized and treated promptly [8]. Central venous cannulation (CVC) is a procedure that is frequently performed to facilitate resuscitation, nutritional support and long-term vascular access It may often cause mechanical complications during the placement of a cannula in association with the anatomical relationship with central veins [9]. We report our case with a review of literature
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