X-ray of one-sided “white lung” after central venous cathete
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Perforation of the subclavian artery occurs in about 0.1–1% of cases, leading to hemothorax (1%) and rarely quadriplegia. Perforation of the aorta and cardiac tamponade can occur if the cannula-site perforation is within the pericardial reflection. This complication is associated with a death rate of 90%. Compulsory radiological control of central venous access is debated but is still routinely performed in our institution.This case report describes the radiological abnormality of a one-sided pleural effusion during a routine control directly after a difficult central venous catheterization. We illustrate the findings, the initial emergency management, and our procedure to rule out an iatrogenic hemothorax. Possible differential diagnoses and strategies for management of a suspected complication are discussed...

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