A Case Report of Arteriovenous Fistula Penetrating into the Ascending Aorta Due to Right Internal Jugular Vein Placement

Authors

  • Fanwei Meng, MM Inner Mongolia Medical University, Hohhot, China
  • Zhi-Ping Liu, MM Cardiac And Vascular Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China
  • Jian Wang, MD Cardiac And Vascular Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China

DOI:

https://doi.org/10.1532/hsf.4937

Keywords:

Internal jugular vein placement, arteriovenous fistula, ascending aorta

Abstract

Internal jugular vein placement is frequently utilized in clinical practice for rapid infusion, intraoperative monitoring, peritoneal dialysis, and access for interventions. Additionally, the process may lead to complications like hematoma, infection, misdirection of the artery, pneumothorax, and arteriovenous fistula. In the case described in this report, all vascular ruptures effectively were repaired because when internal jugular vein placement was adopted, a dialysis catheter would go through the right internal jugular vein into the subclavian artery, then the ascending aorta via the cephalic trunk, and finally the ectopic catheter would be surgically removed. The patient was released from the hospital on the seventh postoperative day after maintaining stable vital signs throughout the procedure.

References

Alon MH. 2021. Inadvertent arterial puncture involving the subclavian artery and the aorta during central venous catheterization: a case report[J]. Journal of Medical Case Reports. 15(1): 303.

Kornbau C, Lee K, Hughes G, et al. 2015. Central line complications[J]. International Journal of Critical Illness and Injury Science. 5(3): 170.

Soni NJ, Reyes LF, Keyt H, et al. 2016. Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists[J]. Journal of Critical Care. 277-283.

Tan C, Tan J, My A, et al. 2020. Unexpected complication of arteriovenous fistula of the left common carotid to internal jugular vein following central venous catheterization[J]. Chinese Journal of Traumatology. 23(1): 29-31.

Published

2022-10-31

How to Cite

Meng, fanwei, Liu, Z.-P., & Wang, J. (2022). A Case Report of Arteriovenous Fistula Penetrating into the Ascending Aorta Due to Right Internal Jugular Vein Placement. The Heart Surgery Forum, 25(5), E750-E752. https://doi.org/10.1532/hsf.4937

Issue

Section

Articles