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2001, Number 5

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Med Crit 2001; 15 (5)

Acygos arch cannulation and perforation by a double lumen catheter for hemodialysis

Huerta-Torrijos T, Díaz-Barriga PR, del Ángel CRE

Language: Spanish
References: 13
Page: 172-176
PDF size: 87.55 Kb.


ABSTRACT

Objective: To report a case of azygos arch cannulation and perforation by a central venous catheter. Design: Case report. Setting: ICU of a private hospital, Mexico City. Patient: A 46-year-old woman with severe metabolic acidosis due to acute aspirin overdose. Interventions: Insertion of a double lumen catheter via the right internal jugular vein, hemodialysis, assisted mechanical ventilation, thoracotomy and reparation of azygos vein, blood transfusion. Measurements and main results: After surgery and hemodialysis the course of illness was satisfactory and the patient was discharged to home. Conclusion: Azygos arch perforation is a rare complication of central venous catheterization.


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