Repair of Superior Vena Caval Perforation during Pacemaker Placement with Video-Assisted Limited Thoracotomy

Authors

  • James I. Fann
  • J. Edwin Atwood
  • Thomas A. Burdon

DOI:

https://doi.org/10.1532/hsf.555

Abstract

We report a case of a patient who sustained superior vena cava perforation just proximal to the innominate-caval confluence during pacemaker implantation. Because this complication was recognized early and the dilator was left in place, the patient remained hemodynamically stable and successfully underwent a videoscopically assisted repair of the superior vena caval perforation through a limited thoracotomy incision.

References

Baumgartner FJ, Rayhanabad J, Bongard FS, Milliken JC, Donayre C, Klein SR. 1999. Central venous injuries of the subclavian-jugular and innominate-caval confluences. Tex Heart Inst J 26:177-81.nCollier PE, Goodman GB. 1995. Cardiac tamponade caused by central venous catheter perforation of the heart: a preventable complication. J Am Coll Surg 181:459-63.nJohnson EM, Saltzman DA, Suh G, Dahms RA, Leonard AS. 1998. Complications and risks of central venous catheter placement in children. Surgery 124:911-6.nKirk AJ, Turner MA. 1987. Surgical aspects of permanent cardiac pacemakers. Life Support Syst 5:223-31.nRobinson JF, Robinson WA, Cohn A, Garg K, Armstrong JD 2nd. 1995. Perforation of the great vessels during central venous line placement. Arch Intern Med 155:1225-8.nvon Oppell UO, Bautz P, DeGroot M. 2000. Penetrating thoracic injuries: what we have learnt. Thorac Cardiovasc Surg 48:55-61.n

Published

2005-01-04

How to Cite

Fann, J. I., Atwood, J. E., & Burdon, T. A. (2005). Repair of Superior Vena Caval Perforation during Pacemaker Placement with Video-Assisted Limited Thoracotomy. The Heart Surgery Forum, 7(1), E1-E3. https://doi.org/10.1532/hsf.555

Issue

Section

Article