Vázquez MJC, Munguía CDA, Cabrera TS, Vargas MGK, Téllez BJL, Casas FL, Calvo FE

Language: Spanish
References: 6
Page: 29-31
PDF size: 105.97 Kb.

ABSTRACT

The case of a 57 years old man referred from another institution with diagnosis of lesion of the aortic arch by a hemodialysis catheter is presented. The catheter was tried to be introduced through the right internal jugular vein, apparently without complications, but control radiographs showed a right pleural effusion and anomalous position of the catheter, which was confirmed by computed tomography. Through a midline sternotomy, the catheter penetrating the aorta just below the brachiocephalic artery could be observed. After placing a double purse-string suture with prolene 4-0, the catheter was removed without complications. The patient evolved satisfactorily and was discharged 36 h later to his hospital of origin.

REFERENCES

1. Sigler ML, Castañeda GR, Rish FL. Epidemiología de las lesiones vasculares por iatrogenia. En: Sigler ML, Castañeda GR, Rish FL, editores. Lesiones vasculares por iatrogenia. México: Manual Moderno; 2004.p.1-12.

2. Giswold ME, Landry GJ, Taylor LM, Moneta GL. Iatrogenic arterial injury is an increasingly important cause of arterial trauma. Am J Surg 2004;187:590-592.

3. Sigler ML, Castañeda GR, Rish FL, Rodríguez-Trejo JM, Padilla-Sánchez L, Gutiérrez-Carreño R. Lesiones vasculares por iatrogenia. Revisión de 140 pacientes. Rev Mex Angiol 2005;33:42-49.

4. Hurtado TGF, Meléndez MG. Incidencia de complicaciones mecánicas durante la colocación de accesos intravasculares para administración de terapia nutricia parenteral. Cir Gen 2008;30:78-83.

5. Adar R, Bass A, Walden R. Iatrogenic complications in surgery. Five year’s experience in general and vascular surgery in a University Hospital. Ann Surg 1982;196:725-729.

6. Rojas RGA, Cervantes CJ. Lesiones vasculares iatrogénicas. Rev Mex Angiol 1999;27:89-94.