Central venous catheter associated left atrial perforation

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A rare complication associated with the clinical use of central venous catheters is perforation of the heart or major vessels” Wong et al (2016).

Abstract:

Central venous catheterization is widely used in patients on hemodialysis. A rare complication associated with the clinical use of central venous catheters is perforation of the heart or major vessels. We report a case of inadvertent perforation of the left atrium and thrombosis after the placement of a hemodialysis catheter in the right internal jugular vein. In such cases, surgical removal of the central venous catheter from perforation sites in the heart and vessel walls poses anesthetic challenges because of the high risk of pneumothorax, hemorrhage, arrhythmias, thrombosis, and death.

Reference:

Wong, K., Marks, B.A., Qureshi, A. and Stemm, J.J. (2016) Migration of a Central Venous Catheter in a Hemodialysis Patient Resulted in Left Atrial Perforation and Thrombus Formation Requiring Open Heart Surgery. A & A Case Reports. May 24th. [Epub ahead of print].

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