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Massive Hemothorax following Canylation of the Subcalvian Vein – a Case Review


Authors: Michal Černý;  K. Havlíček;  L. Sákra;  J. Flašar
Authors‘ workplace: Chirurgická klinika Krajské nemocnice Pardubice, a. s., přednosta: doc. MUDr. K. Havlíček, CSc.
Published in: Rozhl. Chir., 2008, roč. 87, č. 7, s. 376-379.
Category: Monothematic special - Original

Overview

Introduction:
Cannulation v. subclavia is connected with many complications. Haemothorax is occurs approximately in 2% of cases. Surgical revision is indicated immediately if a major blood loss or a circulation insufficiency occur. Surgical treatment of bleeding in cupola of pleural cavity is due to its bad accesability difficult and conventional surgical methods aren’t sufficient. In these cases one can use local haemostyptic.

Case report:
The authors present a case review of a 36-years old patient with a developed massive haemothorax on the left side post a catheterization of v. subclavia. During surgical revision it was found out that a source of bleeding in superior thoracic aperture is present. It wasn’t able to be stopped by classical surgical procedure. TachoSil and Arista preparations were used in this case with a good effect.

Key words:
Central Venous Cathetrization – Haemothorax – Local hemostyptic


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