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BJA Advance Access published online on August 5, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei216
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org
Accepted July 1, 2005

Case Report

Fatal haemothorax following large-bore percutaneous cannulation before liver transplantation

Z. Jankovic 1*, A. Boon 2, and R. Prasad 3

1 Department of Anaesthesia, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK
2 Department of Histopathology, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK
3 Department of Surgery, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK

* To whom correspondence should be addressed.
Z. Jankovic, E-mail: zorica.jankovic{at}leedsth.nhs.uk


  Abstract

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.

Keywords: complications, haemothorax; surgery, liver transplantation; veins, central venous cannulation.
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E-letters:

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Transoesophageal Echocardiography in SVC cannulation
Rahul Basu, et al.
British Journal of Anaesthesia, 7 Oct 2005 [Full text]
Haemothorax following large-bore percutaneous cannulation for liver transplantation
Olumuyiwa A Bamgbade
British Journal of Anaesthesia, 21 Oct 2005 [Full text]
Fatal haemothorax following large-bore percutaneous cannulation before liver transplantation
Davinia G Bennett, et al.
British Journal of Anaesthesia, 9 Jan 2006 [Full text]

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