Tuberc Respir Dis > Volume 60(6); 2006 > Article
Tuberculosis and Respiratory Diseases 2006;60(6):690-693.
DOI:    Published online June 1, 2006.
A Case of Pleural Effusion after Malposition of Central Venous Catheter.
Jae Seok Kim, Sang Ha Kim, Nak Won Lee, Woo Cheol Kwon, Jong Won Beon, Tae Won Hong, Kye Chul Shin, Suk Joong Yong
1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
2Department of Radiology, Yonsei University Wonju College of Medicine, Wonju, Korea.
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.
Key Words: Central venous catheterization, Complication, Pleural effusion

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