Kapoor Mukul C, Kumar Sameer, Gourishanker Ramesh
Army Hospital Research and Referral, Delhi, India.
Ann Card Anaesth. 2011 Jan-Apr;14(1):41-4. doi: 10.4103/0971-9784.74398.
A patient for double valve replacement developed an unusual complication consequent to extra-vascular displacement of a port of a central venous catheter, placed through the right subclavian vein. The patient had an uneventful surgical course and the trachea extubated after routine mechanical ventilation. Patient developed excessive mediastinal drainage later, which was noticed to be watery in nature. The source of the drainage was found to be a port of the central venous catheter, draining extra-vascular into the subclavian vascular sheath and thereafter through the pericardium into the mediastinal drains.
一名接受双瓣膜置换术的患者，因经右锁骨下静脉置入的中心静脉导管端口发生血管外移位而出现了一种罕见的并发症。患者手术过程顺利，常规机械通气后气管拔管。患者随后出现过多的纵隔引流，引流液呈水样。发现引流液的来源是中心静脉导管的一个端口，该端口将血管外的液体引流至锁骨下血管鞘，然后通过心包进入纵隔引流管。
