Document Detail

Fatal haemothorax following large-bore percutaneous cannulation before liver transplantation.
MedLine Citation:
PMID:  16085686     Owner:  NLM     Status:  MEDLINE    
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.
Z Jankovic; A Boon; R Prasad
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-08-05
Journal Detail:
Title:  British journal of anaesthesia     Volume:  95     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-12     Completed Date:  2005-11-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  472-6     Citation Subset:  IM    
Department of Anaesthesia, St James's University Hospital, UK.
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MeSH Terms
Catheterization, Central Venous / adverse effects*,  instrumentation
Fatal Outcome
Heart Arrest / etiology
Hemothorax / etiology*
Intraoperative Complications*
Liver Transplantation*
Middle Aged
Vena Cava, Superior / injuries

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