Esophageal Perforation after Catheterization of the Subclavian Vein


  • Florian Weis
  • Andres Beiras-Fernandez
  • Sebastian Sadoni
  • Daniale Hauer
  • Konstantin Nikolaou
  • Bruno Reichart
  • Marion Weis



The insertion of a central venous catheter (CVC) via the subclavian vein is often associated with complications. We report a case in which a patient suffered an esophageal lesion with severe bleeding and a pneumothorax with mediastinal shift induced by the insertion of the dilator of a CVC. The pneumothorax had to be treated immediately by pleural drainage, and the esophageal lesion was successfully corrected by means of an endoclip. The patient survived the complication. However, he died 1 week later from multiple organ failure not associated with the CVC insertion.


Collignon P, Soni N, Pearson I, Sorrell T, Woods P. 1988. Sepsis associated with central vein catheters in critically ill patients. Intensive Care Med 14:227-31.nPearson ML. 1996. Guideline for prevention of intravascular device-related infections; part I: intravascular device-related infections: an overview. The Hospital Infection Control Practices Advisory Committee. Am J Infect Control 24:262-77.nPolderman KH, Girbes AJ. 2002. Central venous catheter use, part 1: mechanical complications. Intensive Care Med 28:1-17.n



How to Cite

Weis, F., Beiras-Fernandez, A., Sadoni, S., Hauer, D., Nikolaou, K., Reichart, B., & Weis, M. (2008). Esophageal Perforation after Catheterization of the Subclavian Vein. The Heart Surgery Forum, 11(4), E263-E265.




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