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ACC : Acute and Critical Care



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Vascular Surgery
Delayed Presentation of Catheter-Related Subclavian Artery Pseudoaneurysm
Hwa Rim Kang, Jin Yong Park, Jee Hyun Kim, Yook Kim, Min Ho Kang, YouJin Chang, Kang Hyeon Choe, Ki Man Lee, Jin Young An
Korean J Crit Care Med. 2015;30(3):222-226.   Published online August 31, 2015
  • 5,402 View
  • 61 Download
AbstractAbstract PDF
Central venous catheterization is a common diagnostic and therapeutic procedure in modern clinical practice. Pseudoaneurysms of the subclavian artery are rare and usually occur immediately after the causative event, whether the cause was trauma or a medical procedure. Here we report the rare case of a 71-year-old woman with delayed presentation of catheter-related subclavian pseudoaneurysm. The patient was treated for aspiration pneumonia with respiratory failure in another hospital. The patient’s chest wall swelling began two weeks after the initial catheterization in the other hospital, probably because of slow leakage of blood from the injured subclavian artery caused by incomplete compression of the puncture site and uremic coagulopathy. She was successfully treated with ultrasound-guided thrombin and angiography-guided histoacryl injection without stent insertion or surgery. Her condition improved, and she was discharged to her home.
Thoracic Surgery
Subclavian Artery Laceration Caused by Pigtail Catheter Removal in a Patient with Pneumothorax
Hyo Jin Kim, Yang Hyun Cho, Gee Young Suh, Jeong Hoon Yang, Kyeongman Jeon
Korean J Crit Care Med. 2015;30(2):119-122.   Published online May 31, 2015
  • 7,653 View
  • 77 Download
  • 3 Crossref
AbstractAbstract PDF
We report a case of subclavian artery laceration caused by the removal of a pigtail pleural drainage catheter in a patient with a pneumothorax. The patient was successfully resuscitated through diagnostic angiography with subsequent balloon occlusion and primary repair of the injured subclavian artery. Although pigtail drainage of a pneumothorax is known to be safe and effective, proper insertion and removal techniques should be emphasized to reduce the risk of complications.


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Esophageal-Retroesophageal Right Subclavian Artery Fistula: A Case Report
Jin Ho Choi, Chun Sung Byun, Seong Min Kim, Jung Joo Hwang
Korean J Crit Care Med. 2012;27(3):179-181.
  • 2,509 View
  • 14 Download
AbstractAbstract PDF
Fistula between retroesophageal subclavian artery and esophagus is rare but a fatal complication. The purpose of this case study is to describe a case of 47-year old male presented with intracranial hemorrhage being required a long stay in the intensive care unit and to demonstrate the importance of surveillance patients requiring prolonged nasogastric tube. Recognition of this aberrant artery is critical for the prevention of these catastrophic events.

ACC : Acute and Critical Care