Derrame pleural bilateral y pericárdico tras perforación vascular por catéter venoso central

  1. Oller Navarro, Inma
  2. Ruiz Tovar, Jaime
  3. Arroyo Sebastián, Antonio
  4. Moya Forcén, Pedro José
  5. Calpena Rico, Rafael
Revista:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Año de publicación: 2014

Volumen: 17

Número: 4

Páginas: 177-179

Tipo: Artículo

Otras publicaciones en: Revista española de investigaciones quirúrgicas

Resumen

Placement of central venous lines, is a standard in major surgery. Over 15% of patients develop complications after place- ment of central venous catheters. Vascular perforation is a rare complication (<5%).Only 10% of the drilling takes place in central veins, the correct diagnosis is usually made late, contributing to high morbidity and mortality in these patients. We report a 66 year old woman admitted for elective reconstruction of intestinal transit, that after establishing total parenteral nutrition due to a torpid postoperative presents bilateral pleural effusion and pericardial vascular perforation after central venous catheter. This event seeks to highlight the peculiarity of the presence of communication between the 3 spaces, pleural and pericardial effusions as there are few cases reported in the literature.