BJA Advance Access originally published online on August 5, 2005
British Journal of Anaesthesia 2005 95(4):472-476; doi:10.1093/bja/aei216
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CASE REPORT |
Fatal haemothorax following large-bore percutaneous cannulation before liver transplantation
1 Department of Anaesthesia, 2 Department of Histopathology and 3 Department of Surgery, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK
* Corresponding author. E-mail: zorica.jankovic{at}leedsth.nhs.uk
Percutaneous bypass catheters are routinely used for veno-venous bypass (VVBP) during orthotopic liver transplantation (OLT). The recognized risks include bleeding, injury of vascular and nerve structures and lymphatic leakage. We describe a case where there were difficulties during catheterization and the patient suffered a cardiac arrest on commencing VVBP. Post-mortem examination revealed the bypass catheter tip in the pleural space and a large right haemothorax. Possible mechanisms of vascular perforation and preventative measures are discussed.
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