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A Case of Pleural Effusion after Malposition of Central Venous Catheter  

Kim, Jae Seok (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Kim, Sang-Ha (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Lee, Nak Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Kwon, Woo Cheol (Department of Radiology, Yonsei University Wonju College of Medicine)
Choi, Hun (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Beon, Jong Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Hong, Tae Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Shin, Kye Chul (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Yong, Suk Joong (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.60, no.6, 2006 , pp. 690-693 More about this Journal
Abstract
Central venous catheterization is used to provide a large amount of fluid, total parenteral nutrition and to administer antitumor agents with few complications reported. We report an uncommon case of pleural effusion that occurred after central venous catheterization. In many cases, the mechanism for the pleural effusion after central venous catheterization occurs through an injury to the superior vena cava by the continuous mechanical force of the catheter tip, the flow of large amount of fluid and an osmotic injury to the wall of the vein. This case is somewhat different in that the central catheter was placed in an aberrant vessel resulting in the pleural effusion. A post-placement chest roentgenogram and the correct approach of catheterization are important for preventing this complication.
Keywords
Central venous catheterization; Complication; Pleural effusion;
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