Fatal haemothorax following large-bore percutaneous cannulation before liver transplantation

被引：21
作者：
Jankovic, Z
Boon, A
Prasad, R
机构：
[1] St James Univ Hosp, Dept Anaesthesia, Leeds LS9 7TF, W Yorkshire, England
[2] St James Univ Hosp, Dept Histopathol, Leeds LS9 7TF, W Yorkshire, England
[3] St James Univ Hosp, Dept Surg, Leeds LS9 7TF, W Yorkshire, England
来源：
BRITISH JOURNAL OF ANAESTHESIA | 2005年 / 95卷 / 04期
关键词：
complications; haemothorax; surgery; liver transplantation; veins; central venous cannulation;
D O I：
10.1093/bja/aei216
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Percutaneous bypass catheters are routinely used for veno-venous bypass (VVBP) during orthotopic liver transplantation (OLT). The recognized risks include bleeding, injury of vascular and nerve structures and lymphatic leakage. We describe a case where there were difficulties during catheterization and the patient suffered a cardiac arrest on commencing VVBP. Post-mortem examination revealed the bypass catheter tip in the pleural space and a large right haemothorax. Possible mechanisms of vascular perforation and preventative measures are discussed.
引用
收藏
页码：472 / 476
页数：5
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