Baldwin R T, Kieta D R, Gallagher M W
Department of Cardiovascular Surgery, Memorial Regional Heart Center, Houston, Texas 77074-1880, USA.
Ann Thorac Surg. 1996 Aug;62(2):581-2.
Life-threatening complications of central venipuncture are rare. We report an unusual case of a patient in whom a large right subclavian pseudoaneurysm developed, causing pressure necrosis of the membranous trachea and esophagus, after right internal jugular vein cannulation. The patient underwent oversewing of the proximal and distal ends of the subclavian artery and primary tracheal repair. An esophageal leak that presented on the sixth postoperative day was treated by primary suture repair with proximal and distal diversion.
中心静脉穿刺的危及生命的并发症很少见。我们报告了一例不寻常的病例，一名患者在右颈内静脉插管后出现了巨大的右锁骨下假性动脉瘤，导致膜性气管和食管受压坏死。患者接受了锁骨下动脉近端和远端的缝合以及气管一期修复。术后第六天出现的食管漏通过近端和远端转流的一期缝合修复进行治疗。
