Massive haemothorax due to central venous catheter though internal yugular vein

Abstract

Vascular injury during the insertion process of a central venous catheter present a wide spectrum of complications, the most common arterial puncture; It occurs most frequently with the internal jugular and femoral access with the subclavian. although this complication is usually self-limited, should not be dismissed as inconsequential because they can result in high morbidity and mortality even if the needle puncture is a relatively small caliber or catheter is positioned correctly in the intended location vein. Objective: to present the case of a patient with severe vascular injury secondary to placement of a central venous catheter via the right internal jugular and review of the literature. Case report: It is 46 years female patient diagnosed with epilepsy of difficult control, scheduled for functional neurosurgery. In the operating room under general anesthesia and central access via right internal jugular try presenting massive right hemothorax, which led her to thoracotomy and vascular repair, leaving the neurological intensive care unit in serious condition.