Massive hemothorax secondary to internal jugular vein central venous catheter placement in a patient undergoing spinal surgery complicated by chest trauma: a case report

J Cardiothorac Surg. 2023 Apr 6;18(1):104. doi: 10.1186/s13019-023-02194-5.

Abstract

Background: Placement of a central venous catheter (CVC) is a common procedure for spinal surgery and is relatively safe under ultrasound guidance.

Case presentation: We report the case of a 56-year-old female who underwent ultrasound-guided placement of an internal jugular vein CVC for fluid replacement during spinal surgery for thoracic vertebral burst compression fracture and multiple rib fractures as a result of a high-altitude fall injury. Hemothorax developed intraoperatively. During a thoracotomy, the tip of the CVC was found within the chest cavity. The presence of chest trauma may impact on clinician's appreciation of the potential complications of internal jugular vein CVC placement.

Conclusion: The present case demonstrates the need for clinical awareness of the potential complications of CVC placement in patients with chest trauma and the need for adequate training in this technique.

Keywords: Case report; Central venous catheterization; Internal jugular vein puncture; Multiple rib fractures; Spinal surgery.

Publication types

  • Case Reports

MeSH terms

  • Catheterization, Central Venous* / adverse effects
  • Catheterization, Central Venous* / methods
  • Central Venous Catheters* / adverse effects
  • Female
  • Hemothorax / etiology
  • Hemothorax / surgery
  • Humans
  • Jugular Veins
  • Middle Aged
  • Ultrasonography